Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Susanna Cunkelman, MA, R-DMT, LPC, NCC

Individual provider Professional Counselor · NPI 1699397091

Lauren Susanna Cunkelman, MA, R-DMT, LPC, NCC is a Professional Counselor in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

3905 Ford Rd Ste 6
Philadelphia, PA 19131-2824
Phone: (215) 220-2192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence PC012072 (PA)

Record details

NPI number1699397091
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , R-DMT , LPC , NCC
Sole proprietorNo
NPI enumeratedMay 8, 2020
Last updated in NPPESMay 8, 2020
Certification dateMay 8, 2020

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