Shadd Cunningham Valid NPI

Individual provider · Counselor · Klamath Falls, OR

NPI

1508306259

Type

Individual (Type 1)

Primary specialty

Counselor

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101Y00000X

Sex

Male

Sole proprietor

No

Enumerated

2017-02-28

Last updated

2017-02-28