Individual
JOSEPH CUNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
123 N YALE ST, NAMPA, ID 83651-2340
(208) 465-5433
Mailing address
123 N YALE ST, NAMPA, ID 83651-2340
(208) 465-5433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC-5298
ID
Other
Enumeration date
05/17/2014
Last updated
05/17/2014
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