Individual provider · Type 1 NPI

Theodora Cunningham

Mental Health Counselor · Chicago, IL

NPI number 1295409217 Active

Practice location

503 E 61st St
Chicago, IL 60637-2406

Call (773) 234-7994 Map

Mailing address

5645 S Calumet Ave Apt 2N
Chicago, IL 60637-1255

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X180.013809 (IL)
Professional Counselor 101YP2500X180.013809 (IL)
Mental Health Counselor Primary 101YM0800X180.013809 (IL)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1295409217

Theodora Cunningham's National Provider Identifier is 1295409217, issued on Aug 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Aug 20, 2021.