Individual provider · Type 1 NPI

Jason Cunningham, LPCC, LICDC

Mental Health Counselor · Lorain, OH

NPI number 1114387685 Active

Practice location

2115 W Park Dr
Lorain, OH 44053-1138

Call (440) 989-4987 Map

Fax (440) 282-4779

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC.2003043 (OH)
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XE.2303364 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X1312443 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.162045 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1114387685

Jason Cunningham, LPCC, LICDC's National Provider Identifier is 1114387685, issued on Feb 26, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lorain, OH. The record was last updated on May 2, 2023.