Provider Demographics
NPI:1720173545
Name:CUNNINGHAM, CHRISTINE YVONNE (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:YVONNE
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:YVONNE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:541 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ORRVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44667-2249
Mailing Address - Country:US
Mailing Address - Phone:330-684-1336
Mailing Address - Fax:
Practice Address - Street 1:2285 BENDEN DR
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2568
Practice Address - Country:US
Practice Address - Phone:330-264-9029
Practice Address - Fax:330-263-7251
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002952101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health