Individual
ANNE R CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC, LISAC
Contact information
Practice address
1016 W UNIVERSITY AVE, STE 202, FLAGSTAFF, AZ 86001-2994
(928) 774-1121
Mailing address
PO BOX 514, SEDONA, AZ 86339-0514
(928) 300-5752
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC10243
AZ
101YP2500X
Professional Counselor
Primary
LPC2514
AZ
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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