Individual
ASHLEY FAY CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., C.M., C.A.D.C.
Contact information
Practice address
111 W 5TH ST, SUITE 600, TULSA, OK 74103-4226
(918) 588-8416
(918) 588-8430
Mailing address
1505 E 35TH ST, TULSA, OK 74105-2623
(918) 812-8289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
10130
OK
Other
Enumeration date
12/01/2008
Last updated
12/28/2011
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