Cunningham, Kimberle Mary

Cunningham, Kimberle Mary is an sole proprietor health care provider with primary practice located at 641 Olive St , Shreveport LA 71104-2209. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Cunningham, Kimberle Mary can be contacted via phone (318) 841-5657.

Contact Information

Primary practice address
641 Olive St Shreveport LA 71104-2209
Phone: (318) 841-5657
Fax: (318) 584-7140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1119 Louisiana
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 676 Louisiana
Behavioral Health & Social Service Providers / Professional 101YP2500X 2501 Louisiana

Profile Details

NPI number 1235273962
LBN Legal business name Cunningham, Kimberle Mary
Credentials LPC LMFT LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Mar 1st, 2019 - about 6 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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