| Brenda Cannon: Counseling & Consulting, P.c. | |
|
2020 E Grand Ave Suite 285 Laramie WY 82070-4383 | |
| (307) 851-9736 | |
| (307) 742-6702 |
| Full Name | Brenda Cannon: Counseling & Consulting, P.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2020 E Grand Ave, Laramie, Wyoming |
| Authorized Official Name and Position | Brenda Jean Cannon (OWNER/PRESIDENT) |
| Authorized Official Contact | 3078519736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Cannon: Counseling & Consulting, P.c. 2020 E Grand Ave Suite 285 Laramie WY 82070-4383 Ph: (307) 851-9736 | Brenda Cannon: Counseling & Consulting, P.c. 2020 E Grand Ave Suite 285 Laramie WY 82070-4383 Ph: (307) 851-9736 |
| NPI Number | 1689049884 |
|---|---|
| Provider Enumeration Date | 12/14/2015 |
| Last Update Date | 12/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689049884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1214 (Wyoming) | Secondary |
| 101YP2500X | Counselor - Professional | 1214 (Wyoming) | Primary |
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