Cunningham, Jean A.

Cunningham, Jean A. is an sole proprietor health care provider with primary practice located at 231 W Main St Ste 1 , Carbondale IL 62901-2948. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cunningham, Jean A. can be contacted via phone (618) 549-6597.

Contact Information

Primary practice address
231 W Main St Ste 1 Carbondale IL 62901-2948
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071-003190 Illinois

Profile Details

NPI number 1306196761
LBN Legal business name Cunningham, Jean A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2012
Last updated Sep 13th, 2012 - about 12 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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