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Organization

NAN CUNNINGHAM, LMHP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY CUNNINGHAM MS (LMHP)
(402) 720-3498
Entity
Organization

Contact information

Practice address
515 N D ST, FREMONT, NE 68025-5051
(402) 720-3498
(402) 620-4019
Mailing address
2055 PARKVIEW DR, FREMONT, NE 68025-4576
(402) 720-3498
(402) 620-4019

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3955
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026115300
NE
Enumeration date
11/30/2016
Last updated
11/30/2016
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