Individual
ISAIAH JOHN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
117 N GARTH AVE, COLUMBIA, MO 65203-4103
(573) 449-2581
(573) 449-2583
Mailing address
117 N GARTH AVE, COLUMBIA, MO 65203-4103
(573) 449-2581
(573) 449-2583
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005109661
MO
Other
Enumeration date
11/13/2009
Last updated
11/13/2009
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