Provider Demographics
NPI:1003312091
Name:CUNHA, FRANK J
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:CUNHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 4TH ST
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-2951
Mailing Address - Country:US
Mailing Address - Phone:530-841-7190
Mailing Address - Fax:530-841-7194
Practice Address - Street 1:206 4TH ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-2951
Practice Address - Country:US
Practice Address - Phone:530-841-7190
Practice Address - Fax:530-841-7194
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health