Individual
LEE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 RAMSEY ST, SAINT PAUL, MN 55102-2323
(651) 650-3117
(651) 305-1220
Mailing address
1380 VIEWCREST RD, SHOREVIEW, MN 55126-8548
(651) 650-3117
(651) 305-1220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
302861
MN
101YM0800X
Mental Health Counselor
Primary
1425
MN
Other
Enumeration date
12/12/2014
Last updated
08/01/2022
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