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Shadd Cunningham
Counselor in Klamath Falls, Oregon
NPI 1508306259

Shadd Cunningham is a Counselor based in Klamath Falls, OR. Shadd Cunningham practices in Klamath Falls, OR. The NPI Number for Shadd Cunningham is 1508306259 and holds a License No. (Oregon).

The current practice location address for Shadd Cunningham is 2074 S 6Th St, Klamath Falls, OR and can be reached out via phone at 541-880-2011.

Location: 2074 S 6Th St, Klamath Falls, OR, 97601-3372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508306259
Provider Name
Shadd Cunningham
Credential
Provider Entity Type
Individual
Gender
Male
Address
2074 S 6Th St, Klamath Falls, OR, 97601-3372
Phone Number
541-880-2011
Fax Number
Provider Enumeration Date
02/28/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
170061 05 OR
institution
Provider Business Practice Location Address Details
Address
2074 S 6Th St
City
Klamath Falls
State
Oregon
Zip
97601-3372
Phone Number
541-880-2011
Fax Number
person
Provider Business Mailing Address Details
Address
2074 S 6Th St
City
Klamath Falls
State
Oregon
Zip
97601-3372
Phone Number
541-880-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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