Individual
KELLY BETH CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1521 CONCORD PIKE, SUITE 103, WILMINGTON, DE 19803-3642
(302) 428-0205
Mailing address
1521 CONCORD PIKE, SUITE 103, WILMINGTON, DE 19803-3642
(302) 428-0205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-0000738
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2193730
CIGNA BEHAVIORAL HEALTH
—
Enumeration date
03/24/2006
Last updated
08/10/2016
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