MRS. MISTY CANNON, CDCA
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1053933176
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1053933176 is the National Provider Identifier for MRS. MISTY CANNON, CDCA, a Counselor - Addiction (Substance Use Disorder) provider located in Jackson, OH. This NPI was enumerated on May 12, 2020.
MRS. MISTY CANNON, CDCA practices at 84 E MOUND ST, Jackson, OH 45640.
Quick Facts
- NPI
- 1053933176
- Type
- Individual
- Enumerated
- May 12, 2020
- Last Updated
- Aug 9, 2023
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