Individual
KENNETH GAITHER CUNNINGHAM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,CAC-AD
Contact information
Practice address
925 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(301) 909-2436
(301) 909-2301
Mailing address
925 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(301) 909-2436
(301) 909-2301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0575
MD
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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