MEDICARE: MRS. MARIA MCMURRAY 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
1	101YM0800X	Mental Health Counselor	0704018828	VA

General Provider Information

NPI Number	:	1366300931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA MCMURRAY CUNNINGHAM

Provider Business Mailing Address
First Line	:	4864 OAKCREST DR
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22030-4569
Country	:	US
Telephone Number	:	703-544-9878
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 E MARKET ST STE 104
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20176-3001
Country	:	US
Telephone Number	:	571-266-1808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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