Individual
SANDRA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
79 ASYLUM ST, WOONSOCKET, RI 02895-5001
(401) 765-4040
(401) 658-3757
Mailing address
79 ASYLUM ST, WOONSOCKET, RI 02895-5001
(401) 765-4040
(401) 658-3757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30342
BLUE CROSS SUBSTANCE ABUS
RI
Enumeration date
10/10/2006
Last updated
07/08/2007
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