Theresa Jean Cunningham
Individual provider Active NPI Mental Health Counselor · Lake Isabella, CA
NPI 1477844900 · NPPES record last updated May 22, 2014
Key facts
- NPI
- 1477844900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2731 Nugget Ave
Lake Isabella, CA 93240 - Phone
- (760) 379-3412
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2731 Nugget Ave
Lake Isabella, CA 93240
Mailing address
2731 Nugget Ave
Lake Isabella, CA 93240
Phone (760) 379-3412
Other providers in Lake Isabella, CA
- College Community Services
- College Community Services
- Christina Conlon
- Brian William Cosgrove Jr.
- Alanna Costello
- Carol Danter
- Jody Lynn David
- Gregory David Davis
- William Alexander Dawson
- Emma Rose Dehn
All providers in Lake Isabella, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.