| Cannon Counseling Llc | |
|
1045 N 115th St Ste 205 Omaha NE 68154-4422 | |
| (402) 807-5786 | |
| Not Available |
| Full Name | Cannon Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1045 N 115th St Ste 205, Omaha, Nebraska |
| Authorized Official Name and Position | John T Cannon (PRESIDENT) |
| Authorized Official Contact | 4026608049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cannon Counseling Llc 16305 Decatur Cir Omaha NE 68118-2418 Ph: (402) 660-8049 | Cannon Counseling Llc 1045 N 115th St Ste 205 Omaha NE 68154-4422 Ph: (402) 807-5786 |
| NPI Number | 1487472551 |
|---|---|
| Provider Enumeration Date | 09/28/2024 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487472551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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