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Individual

CHAD D CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11 BEAR FOUNTAIN CT, WENTZVILLE, MO 63385-3519
(636) 866-6246
Mailing address
422 PARKGATE DR, LAKE SAINT LOUIS, MO 63367-4379
(636) 866-6246
(877) 443-1181

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
14251128-6004
UT
101YP2500X
Professional Counselor
Primary
2007010482
MO
101YP2500X
Professional Counselor
CCMH019531
NM
101YP2500X
Professional Counselor
LPC20998
SD

Other

Enumeration date
10/11/2007
Last updated
03/10/2026
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