Individual
MS. CAROL SUE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMHP CPC CMFT
Contact information
Practice address
3901 NORMAL BLVD, STE 201, LINCOLN, NE 68506-5250
(402) 434-2550
(402) 434-2358
Mailing address
3901 NORMAL BLVD, STE 201, LINCOLN, NE 68506-5250
(402) 434-2550
(402) 434-2358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1095
NE
101YP2500X
Professional Counselor
Primary
883
NE
106H00000X
Marriage & Family Therapist
029
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294496000
MIS NUMBER MAGELLAN
NE
05
—
47067928413
—
NE
01
—
84436
BCBS
NE
Enumeration date
12/14/2006
Last updated
12/03/2014
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