Theodora Cunningham
Theodora Cunningham is a Counselor in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
503 E 61st StChicago, IL 60637-2406
Phone: (773) 234-7994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180.013809 (IL) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 180.013809 (IL) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 180.013809 (IL) |
Record details
| NPI number | 1295409217 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2021 |
| Last updated in NPPES | August 20, 2021 |
| Certification date | August 20, 2021 |
| Mailing address | 5645 S Calumet Ave Apt 2n, Chicago, IL 60637-1255 |
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