Provider Demographics
NPI:1891772448
Name:CUNNINGHAM, ADRIAN DEAN (LPC)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:DEAN
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11312 JEREME TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-7808
Mailing Address - Country:US
Mailing Address - Phone:972-377-9243
Mailing Address - Fax:972-377-9243
Practice Address - Street 1:3550 PARKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1903
Practice Address - Country:US
Practice Address - Phone:972-377-9243
Practice Address - Fax:972-377-9243
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional