Cunningham, Jenny Sue

Cunningham, Jenny Sue is an sole proprietor health care provider with primary practice located at 20 W Canal St Suite C2, Winooski VT 05404-2131. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cunningham, Jenny Sue can be contacted via phone (802) 654-7600.

Contact Information

Primary practice address
20 W Canal St Suite C2 Winooski VT 05404-2131
Fax: (802) 654-7601
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068-0000465 Vermont

Profile Details

NPI number 1295894459
LBN Legal business name Cunningham, Jenny Sue
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Jul 9th, 2007 - about 19 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 1295894459 NPPES
Vermont MEDICAID 1008198
Vermont Other 58344

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