Provider Demographics
NPI:1083764955
Name:CUNNINGHAM, REBECCA G (LMFT , LPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:G
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LMFT , LPC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ANNE
Other - Last Name:STERLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8535 WURZBACH RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1263
Mailing Address - Country:US
Mailing Address - Phone:210-697-8191
Mailing Address - Fax:210-697-8193
Practice Address - Street 1:8535 WURZBACH RD
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1263
Practice Address - Country:US
Practice Address - Phone:210-697-8191
Practice Address - Fax:210-697-8193
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional