Individual
MS. COLLEEN DIANNE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED MFTI
Contact information
Practice address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(408) 261-7777
(408) 254-9960
Mailing address
1216 MOONSAIL LN, FOSTER CITY, CA 94404-1919
(650) 349-6854
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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