Doctor Name: | PATRICIA CUNNINGHAM |
NPI Number: | 1295168110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CG60397435 |
Business Practice Address: | 200 S Tobin St Suite A Renton, WA - 980575338 |
Business Phone Number: | 4252555526 |
Business Fax Number: | 4252555523 |
Mailing Address: | Po Box 4158, RENTON |
State: | WA |
Postal Code: | 980574158 |
Phone Number: | 4252555526 |
Fax Number: | 4252555523 |
NPI Enumeration Date: | 08/14/2013 |
NPI Last Update Date: | 08/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CG60397435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |