Individual provider · Type 1 NPI
Timothy Lee Cunningham
Addiction (Substance Use Disorder) Counselor · Waterbury, CT
NPI number
1922252352
Active
Practice location
141 E Main St, Waterbury Clinical Services
Waterbury, CT 06702-2310
Fax (203) 236-0122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000073 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922252352
Timothy Lee Cunningham's National Provider Identifier is 1922252352, issued on Nov 12, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterbury, CT. The record was last updated on Jul 26, 2016.