Provider Demographics
NPI:1780849356
Name:CUNANAN, ELNORA D (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELNORA
Middle Name:D
Last Name:CUNANAN
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:ELLIE
Other - Middle Name:
Other - Last Name:CUNANAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LMFT
Mailing Address - Street 1:3838 CATHEDRAL LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-3602
Mailing Address - Country:US
Mailing Address - Phone:703-841-2531
Mailing Address - Fax:703-841-2752
Practice Address - Street 1:3838 CATHEDRAL LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-3602
Practice Address - Country:US
Practice Address - Phone:703-841-2531
Practice Address - Fax:703-841-2752
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001166106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist