Individual
STANLEY CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 CANARY LANE, MANSFIELD, LA 71052
(318) 461-0551
Mailing address
125 CANARY LANE, MANSFIELD, LA 71052-5417
(318) 461-0551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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