Individual
JAMIE K CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELM ST STE 7, WEST SPRINGFIELD, MA 01089-1540
(413) 734-0300
Mailing address
360 BLOOMFIELD AVE STE 301, WINDSOR, CT 06095-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
09/17/2018
Last updated
06/15/2021
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