Individual
MRS. BLISS KIFF CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
209 S HOLLYWOOD RD, HOUMA, LA 70360-2716
(985) 876-5336
Mailing address
220 JULIE ST, GRAY, LA 70359-4922
(985) 360-5097
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4724
LA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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