Individual
ANDRA CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 JACKSON WAY SW, JACKSONVILLE, AL 36265-4306
(256) 239-5662
(256) 217-4162
Mailing address
PO BOX 1162, JACKSONVILLE, AL 36265-5162
(256) 239-5662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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