Individual
RENEE MOREAU CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
11020 N TATUM BLVD, PHOENIX, AZ 85028-6072
(602) 996-0654
Mailing address
11020 N TATUM BLVD, PHOENIX, AZ 85028-6072
(602) 996-0654
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-10132
AZ
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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