person
Thomas A. Cannon, LCPC
Professional Counselor in Portland, Maine
NPI 1124352083

Thomas A. Cannon is a Professional Counselor based in South Portland, ME and is specialized in Professional. Thomas A. Cannon practices in Portland, ME and has the professional credentials of LCPC. The NPI Number for Thomas A. Cannon is 1124352083 and holds a License No. CC3836 (Maine).

The current practice location address for Thomas A. Cannon is 165 Lancaster St, Portland, ME and can be reached out via phone at 207-874-1030 and via fax at 207-874-1044.

Location: 165 Lancaster St, Portland, ME, 04106-2316
person
Provider Profile Details
NPI Number
1124352083
Provider Name
Thomas A. Cannon
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
165 Lancaster St, Portland, ME, 04106-2316
Phone Number
207-874-1030
Fax Number
207-874-1044
Provider Enumeration Date
09/25/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
165 Lancaster St
City
State
Zip
04101-2406
Phone Number
207-874-1030
Fax Number
207-874-1044
person
Provider Business Mailing Address Details
Address
165 Lancaster St
City
State
Zip
04101-2406
Phone Number
207-874-1030
Fax Number
207-874-1044
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
CC3836 (Maine)
Definition
Definition to come...
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