Brent Cunningham, CADC, LSAC

NPI 1740571363 · on the registry since 2011 · sole proprietor

Practice

Address: 284 Martin St
Twin Falls, ID 83301
Phone: (208) 420-9952
Fax: (208) 423-7029
Organisation at this address: Beard Family Services
Preferred Child And Family Services
Preferred Child And Family Services, Inc
Preferred Child And Family Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 24

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Also registered as: 101YA0400X
Licence states on file: UT, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-04-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho