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Individual

KEVIN CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
1524B UNIVERSITY PKWY, AIKEN, SC 29801-2899
(803) 215-8841
Mailing address
1524B UNIVERSITY PKWY, AIKEN, SC 29801-2899
(803) 215-8841

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6038
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101Y00000X
SC
Enumeration date
03/05/2007
Last updated
01/03/2015
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