Individual
MRS. MICHELE LEE CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0247
Mailing address
2209 E 32ND ST, TACOMA, WA 98404-4922
(253) 593-0247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60705960
WA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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