Individual
WILLIAM R CUNNINGHAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
820 S MAIN ST, SUITE 307, SAINT CHARLES, MO 63301-3306
(636) 947-2325
(636) 947-5941
Mailing address
12 WINDERMERE CT, SAINT CHARLES, MO 63301-4527
(636) 949-5553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2002032132
MO
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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