| NPI | 1942560248 |
|---|---|
| Professional Name | MITCHELENE JOELLEN CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 7824) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 773) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2014-05-22 |