Violease Cunningham

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Merced, CA

NPI 1942978366 · NPPES record last updated Aug 31, 2021

Key facts

NPI
1942978366
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1343 W Main St Ste a&B
Merced, CA 95340-4438
Phone
(209) 725-1060
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC Past
since Sep 5, 2021
Accepting new patients
Aegis Treatment Centers, LLC Past
since Sep 5, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1343 W Main St Ste a&B
Merced, CA 95340-4438

Mailing address

1343 W Main St Ste a&B
Merced, CA 95340-4438
Phone (209) 725-1060

Other providers in Merced, CA

All providers in Merced, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.