Provider Demographics
NPI:1548595168
Name:CUNNINGHAM, CLAIRE A (LMHP)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:A
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 W 39TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2713
Mailing Address - Country:US
Mailing Address - Phone:308-440-0554
Mailing Address - Fax:
Practice Address - Street 1:1617 W 39TH ST STE 4
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-2713
Practice Address - Country:US
Practice Address - Phone:308-440-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1989101YP2500X
NE142106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional