Individual
DAVID CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC II
Contact information
Practice address
4977 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 304-6453
Mailing address
5625 PENN AVE, DAYTON, OH 45432-1726
(937) 304-6453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
150290
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161563
OH
Other
Enumeration date
09/11/2017
Last updated
05/24/2021
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