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Contact Information

WAYNE K CUNNINGHAM, L.C.M.H.C., L.A.D.C.
2760 MAIN STREET
EASTERN SLOPE INN
NORTH CONWAY, NH03860
 Phone: 603-356-9955
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for WAYNE K CUNNINGHAM · (Male)

NPI # 1003946112
Status Active
Credentials L.C.M.H.C., L.A.D.C.
Entity Individual
Enumeration date 03/07/2007
Last updated 10/04/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 0331
  • NH License # 237
  • NH Medicaid 30014439
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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