person
Mr. Fred Reeves Cannon III, MA,LPC,BCPCC
Professional Counselor in Florence, South Carolina
NPI 1295961019

Fred Reeves Cannon III is a Professional Counselor based in Florence, SC and is specialized in Professional. Fred Reeves Cannon III practices in Florence, SC and has the professional credentials of MA,LPC,BCPCC. The NPI Number for Fred Reeves Cannon III is 1295961019 and holds a License No. 5016 (South Carolina).

The current practice location address for Fred Reeves Cannon III is 1140 3Rd Loop Rd, Florence, SC and can be reached out via phone at 843-662-2021 and via fax at 843-662-2021. You can also correspond with Fred Reeves Cannon III through the mailing address at 1140 3RD LOOP RD, FLORENCE, SC - 29505-3709 (mailing address contact number: 843-662-2021).

Location: 1140 3Rd Loop Rd, Florence, SC, 29505-3709
person
Provider Profile Details
NPI Number
1295961019
Provider Name
Fred Reeves Cannon III
Credential
MA,LPC,BCPCC
Provider Entity Type
Individual
Gender
Male
Address
1140 3Rd Loop Rd, Florence, SC, 29505-3709
Phone Number
843-662-2021
Fax Number
843-662-2021
Provider Enumeration Date
06/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1140 3Rd Loop Rd
City
State
Zip
29505-3709
Phone Number
843-662-2021
Fax Number
843-662-2021
person
Provider Business Mailing Address Details
Address
1140 3Rd Loop Rd
City
State
Zip
29505-3709
Phone Number
843-662-2021
Fax Number
843-662-2021
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
5016 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5016 (South Carolina)
Definition
Definition to come...
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