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NPI Code Detail

MEDICARE: CHRISTINE CUNNINGHAM

MEDICARE:   CHRISTINE  CUNNINGHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorS.0600626OH

General Provider Information

NPI Number : 1366062218
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE CUNNINGHAM
Provider Business Mailing Address
First Line : 8977 COLUMBIA RD STE A
Second Line :
City : LOVELAND
State : OH
Zip : 45140-1100
Country : US
Telephone Number : 513-409-3635
Fax Number : 513-826-9350
Provider Business Practice Location Address
First Line : 8977 COLUMBIA RD STE A
Second Line :
City : LOVELAND
State : OH
Zip : 45140-1100
Country : US
Telephone Number : 513-409-3635
Fax Number : 513-826-9350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2020
Last Update Date : 04/21/2020

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Directions to “ CHRISTINE CUNNINGHAM ” Practice Location

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