Individual
CORRIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 N MAIN AVE STE 201C, GRESHAM, OR 97030-7242
(503) 770-0213
Mailing address
320 N MAIN AVE STE 201C, GRESHAM, OR 97030-7242
(503) 770-0213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4427
OR
101YM0800X
Mental Health Counselor
CG60490328
WA
Other
Enumeration date
10/14/2014
Last updated
07/20/2021
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