Individual
AMANDA NICHOLE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S. SAC-IT
Contact information
Practice address
203 W SUNNY LN, JANESVILLE, WI 53546-9091
(608) 741-4515
(608) 741-4516
Mailing address
1224 CHAPIN ST, BELOIT, WI 53511-6437
(608) 481-0933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20661-130
WI
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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