Individual
TERESA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W PIERCE ST, CARLSBAD, NM 88220-5218
(575) 234-3335
(575) 885-5331
Mailing address
800 W PIERCE ST, CARLSBAD, NM 88220-5218
(575) 234-3335
(575) 885-5331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0179101
NM
101YM0800X
Mental Health Counselor
T-0177911
NM
Other
Enumeration date
09/28/2011
Last updated
04/21/2016
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