Individual
JENNY SUE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
20 W CANAL ST, SUITE C2, WINOOSKI, VT 05404-2131
(802) 654-7600
(802) 654-7601
Mailing address
20 W CANAL ST, SUITE C2, WINOOSKI, VT 05404-2131
(802) 654-7600
(802) 654-7601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000465
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008198
—
VT
01
—
58344
PROVIDER NUMBER
VT
Enumeration date
12/06/2006
Last updated
07/09/2007
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