Julie Cunningham, LMFT

Individual provider Active NPI Marriage & Family Therapist · Mission, KS

NPI 1689124133 · NPPES record last updated Oct 8, 2016

Key facts

NPI
1689124133
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
2814 (KS)
Practice address
5505 Foxridge Dr # 102
Suite #102
Mission, KS 66202-1556
Phone
(913) 703-5768
NPI assigned
Oct 8, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2814KSMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2814 KS Yes

Addresses

Primary practice location

5505 Foxridge Dr # 102
Suite #102
Mission, KS 66202-1556

Mailing address

5505 Foxridge Dr # 102
Mission, KS 66202-1556
Phone (913) 703-5768

Other providers in Mission, KS

All providers in Mission, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.