person
Mr. Brent R Cunningham, CADC,LSAC
Addiction (Substance Use Disorder) Counselor in Twin Falls, Idaho
NPI 1740571363

Brent R Cunningham is an Addiction (Substance Use Disorder) Counselor based in Twin Falls, ID and is specialized in Addiction (Substance Use Disorder). Brent R Cunningham practices in Twin Falls, ID and has the professional credentials of CADC,LSAC. The NPI Number for Brent R Cunningham is 1740571363 and holds a License No. 7726920-6006 (Idaho).

The current practice location address for Brent R Cunningham is 284 Martin St, Twin Falls, ID and can be reached out via phone at 208-420-9952 and via fax at 208-423-7029. You can also correspond with Brent R Cunningham through the mailing address at PO BOX 242, TWIN FALLS, ID - 83303-0242 (mailing address contact number: 208-420-9952).

Location: 284 Martin St, Twin Falls, ID, 83303-0242
person
Provider Profile Details
NPI Number
1740571363
Provider Name
Brent R Cunningham
Credential
CADC,LSAC
Provider Entity Type
Individual
Gender
Male
Address
284 Martin St, Twin Falls, ID, 83303-0242
Phone Number
208-420-9952
Fax Number
208-423-7029
Provider Enumeration Date
04/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
284 Martin St
City
State
Zip
83301-4542
Phone Number
208-420-9952
Fax Number
208-423-7029
person
Provider Business Mailing Address Details
Address
Po Box 242
City
State
Zip
83303-0242
Phone Number
208-420-9952
Fax Number
208-423-7029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
7726920-6006 (Utah)
Definition
Definition to come...
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