Individual
TRISHA LORRAINE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 NW 2ND ST, CORVALLIS, OR 97330-6446
(541) 752-0159
(541) 752-0159
Mailing address
628 NW 2ND ST, CORVALLIS, OR 97330-6446
(541) 752-0159
(541) 752-0159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-16-024
OR
Other
Enumeration date
12/19/2017
Last updated
12/19/2017
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