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NPI Code Detail

MEDICARE: DR. CHERRY LARSON CUNNINGHAM LPC

MEDICARE:  DR. CHERRY LARSON CUNNINGHAM  LPC
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) Counselor2920TX
2101YP2500XProfessional Counselor10502TX
3106H00000XMarriage & Family Therapist950TX

General Provider Information

NPI Number : 1538246673
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERRY LARSON CUNNINGHAM LPC
Provider Business Mailing Address
First Line : 35 ESQUIRE DR
Second Line :
City : DENISON
State : TX
Zip : 75021-5133
Country : US
Telephone Number : 903-892-8861
Fax Number : 903-465-2520
Provider Business Practice Location Address
First Line : 1800 TEAGUE DR
Second Line : SUITE 407
City : SHERMAN
State : TX
Zip : 75090-2640
Country : US
Telephone Number : 903-892-8861
Fax Number : 903-465-2520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 09/11/2025

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Directions to “ DR. CHERRY LARSON CUNNINGHAM LPC” Practice Location

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