Individual
LESLIE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
5775 NW 64TH TER, SUITE 201, KANSAS CITY, MO 64151-2382
(816) 746-5352
(816) 746-5254
Mailing address
5775 NW 64TH TER, SUITE 201, KANSAS CITY, MO 64151-2382
(913) 248-9693
(913) 248-9383
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C5070658
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19914011
BLUE SHIELD KC,MO
MO
01
—
5743627
AETNA
—
Enumeration date
01/04/2007
Last updated
07/08/2007
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