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Christina L Cannon, RADT
Addiction (Substance Use Disorder) Counselor in Bend, Oregon
NPI 1265084263

Christina L Cannon is an Addiction (Substance Use Disorder) Counselor based in Bend, OR and is specialized in Addiction (Substance Use Disorder). Christina L Cannon practices in Bend, OR and has the professional credentials of RADT. The NPI Number for Christina L Cannon is 1265084263 and holds a License No. (Oregon).

The current practice location address for Christina L Cannon is 63311 Jamison St, Bend, OR and can be reached out via phone at 541-332-7500 and via fax at 541-322-7565.

Location: 63311 Jamison St, Bend, OR, 97701-7752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265084263
Provider Name
Christina L Cannon
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
63311 Jamison St, Bend, OR, 97701-7752
Phone Number
541-332-7500
Fax Number
541-322-7565
Provider Enumeration Date
07/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
63311 Jamison St
City
Bend
State
Oregon
Zip
97703-8288
Phone Number
541-332-7500
Fax Number
541-322-7565
person
Provider Business Mailing Address Details
Address
63311 Jamison St
City
Bend
State
Oregon
Zip
97703-8288
Phone Number
541-332-7500
Fax Number
541-322-7565
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1353740719 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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