Individual provider · Type 1 NPI
Mary Elizabeth Cunningham
Professional Counselor · Peoria, IL
NPI number
1629563937
Active
Practice location
6219 N. Eldorado Dr.
Peoria, IL 61614
Mailing address
6219 N Eldorado Dr
Peoria, IL 61614-3308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180.010297 (IL) |
Professional Counselor: Definition to come...
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About NPI 1629563937
Mary Elizabeth Cunningham's National Provider Identifier is 1629563937, issued on Jun 28, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Peoria, IL. The record was last updated on Jun 28, 2018.