Individual
MRS. MITCHELENE JOELLEN CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW,LAC
Contact information
Practice address
301 N MONROE ST, OLATHE, KS 66061-3162
(913) 782-0283
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3234
(913) 782-0283
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
773
KS
104100000X
Social Worker
Primary
7824
KS
Other
Enumeration date
05/21/2012
Last updated
05/22/2014
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