Individual
LAURIE A CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, PCC
Contact information
Practice address
915 S RIVERSIDE DR, MCCONNELSVILLE, OH 43756-0506
(740) 454-9766
(740) 588-6452
Mailing address
2845 BELL ST, ZANESVILLE, OH 43701-1720
(740) 454-9766
(740) 588-6452
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C0602138
OH
101YM0800X
Mental Health Counselor
C0602138
OH
101YP2500X
Professional Counselor
Primary
E0602138
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180369
—
OH
Enumeration date
10/02/2008
Last updated
02/28/2018
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