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NPI Code Detail

MEDICARE: CHRISTINE LYNN CUNNINGHAM MA, LMFT

MEDICARE:   CHRISTINE LYNN CUNNINGHAM  MA, LMFT
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
1101YA0400XAddiction (Substance Use Disorder) Counselor00632-INTERNNV
2106H00000XMarriage & Family TherapistMASTERSNV
3106H00000XMarriage & Family Therapist01170NV

General Provider Information

NPI Number : 1407096548
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LYNN CUNNINGHAM MA, LMFT
Provider Business Mailing Address
First Line : 501 S RANCHO DR STE E27
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4833
Country : US
Telephone Number : 702-527-9997
Fax Number :
Provider Business Practice Location Address
First Line : 501 S RANCHO DR STE E27
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4833
Country : US
Telephone Number : 702-527-9997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2009
Last Update Date : 04/10/2025

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