DEDRA CANNON
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1992384176
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | - |
Frequently Asked Questions
NPI 1992384176 is the National Provider Identifier for DEDRA CANNON, a Counselor - Addiction (Substance Use Disorder) provider located in East Hazel Crest, IL. This NPI was enumerated on April 6, 2021.
DEDRA CANNON practices at 1909 CHEKER SQ, East Hazel Crest, IL 60429.
Quick Facts
- NPI
- 1992384176
- Type
- Individual
- Enumerated
- Apr 6, 2021
- Last Updated
- Apr 6, 2021
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