Provider Demographics
NPI:1205397619
Name:CUNNINGHAM, WILLIAM DOWEL (MBA, CTC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DOWEL
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:MBA, CTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1293 HENDERSONVILLE RD STE 24
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1956
Mailing Address - Country:US
Mailing Address - Phone:828-505-5843
Mailing Address - Fax:
Practice Address - Street 1:1293 HENDERSONVILLE RD STE 24
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1956
Practice Address - Country:US
Practice Address - Phone:828-505-5843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1760OtherCOUNSELING