Anthony Cunningham
Peer Specialist in San Diego, CA. Individual provider (NPI-1).
NPI number1679926554
StatusActive
Last updated in NPPESJul 18, 2016
Details
- NPI
- 1679926554
- Entity type
- Individual (NPI-1)
- Name
- Anthony Cunningham
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2016
- Last updated
- Jul 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1260 Morena Blvd Ste 100San Diego, CA 92110-3850
Phone 619-398-0355
Mailing address
194 Carver StChula Vista, CA 91911-5113
Phone 619-761-2471
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