Cunningham, Jason Ty

Cunningham, Jason Ty is an individual health care provider with primary practice located at 480 Robert Blvd , Slidell LA 70458-1345. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cunningham, Jason Ty can be contacted via phone (985) 649-2774.

Contact Information

Primary practice address
480 Robert Blvd Slidell LA 70458-1345
Phone: (985) 649-2774
Fax: (985) 649-2738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2412 Louisiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT25 Louisiana

Profile Details

NPI number 1548488919
LBN Legal business name Cunningham, Jason Ty
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jan 22nd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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