Provider Demographics
NPI:1295332526
Name:CUNNINGHAM, ROBERT M JR (LMFT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:M
Last Name:CUNNINGHAM
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3242
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67402-3242
Mailing Address - Country:US
Mailing Address - Phone:785-577-4631
Mailing Address - Fax:
Practice Address - Street 1:127B N 7TH ST
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2603
Practice Address - Country:US
Practice Address - Phone:785-577-4631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-09
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT03177-T106H00000X
KSLMFT03251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist