Cunningham, Clinton Keith

Cunningham, Clinton Keith is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1290. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Cunningham, Clinton Keith can be contacted via phone (641) 621-2200.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1290
Phone: (641) 621-2200
Fax: (641) 621-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 087027 Iowa

Profile Details

NPI number 1215410741
LBN Legal business name Cunningham, Clinton Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2018
Last updated Aug 31st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215410741 NPPES
Iowa Other 1215410741 NPI #
Iowa Other 087027 NPI #
Iowa Other 007829 NPI #

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