Individual
MELVIN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCJAP
Contact information
Practice address
1609 W 3RD AVE, WILLIAMSON, WV 25661-3006
(304) 235-0026
Mailing address
PO BOX 144, RED JACKET, WV 25692-0144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WV
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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