Individual provider · Type 1 NPI
Stacey L. Cunningham, LPC
Professional Counselor · Bastrop, TX
NPI number
1013116607
Active
Practice location
1011 Alley A St
Bastrop, TX 78602-3240
Fax (512) 332-2025
Mailing address
1011 Alley A
Bastrop, TX 78602-3240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 19686 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1013116607
Stacey L. Cunningham, LPC's National Provider Identifier is 1013116607, issued on Jul 13, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bastrop, TX. The record was last updated on Jul 13, 2007.