Individual provider · Type 1 NPI
Jackie Dee Cunningham, LPC, LMFT
Professional Counselor · Waco, TX
NPI number
1093722571
Active
Practice location
6801 Sanger Ave, Ste 201
Waco, TX 76710-7818
Fax (254) 741-1737
Mailing address
8208 Teakwood Dr
Waco, TX 76712-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | 917 (TX) |
| Professional Counselor Primary | 101YP2500X | 9087 (TX) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1093722571
Jackie Dee Cunningham, LPC, LMFT's National Provider Identifier is 1093722571, issued on Aug 1, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Waco, TX. The record was last updated on Feb 6, 2023.