| Cannon Consulting Services Llc | |
|
758 Nw Rainbow St Port St Lucie FL 34983-8309 | |
| (772) 206-0334 | |
| Not Available |
| Full Name | Cannon Consulting Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 758 Nw Rainbow St, Port St Lucie, Florida |
| Authorized Official Name and Position | Jason Edward Cannon (BUSINESS MANAGER) |
| Authorized Official Contact | 7722060334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cannon Consulting Services Llc 758 Nw Rainbow St Port St Lucie FL 34983-8309 Ph: (772) 206-0334 | Cannon Consulting Services Llc 758 Nw Rainbow St Port St Lucie FL 34983-8309 Ph: (772) 206-0334 |
| NPI Number | 1346079753 |
|---|---|
| Provider Enumeration Date | 08/01/2024 |
| Last Update Date | 08/01/2024 |
| Certification Date | 08/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346079753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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