person
Calleen Ann Cannon, LCPC
Professional Counselor in Chubbuck, Idaho
NPI 1316144819

Calleen Ann Cannon is a Professional Counselor based in Chubbuck, ID and is specialized in Professional. Calleen Ann Cannon practices in Chubbuck, ID and has the professional credentials of LCPC. The NPI Number for Calleen Ann Cannon is 1316144819 and holds a License No. LCPC-4273 (Idaho).

The current practice location address for Calleen Ann Cannon is 265 E Chubbuck Road, Chubbuck, ID and can be reached out via phone at 208-237-1711 and via fax at 208-237-9806.

Location: 265 E Chubbuck Road, Chubbuck, ID, 83202-5055
person
Provider Profile Details
NPI Number
1316144819
Provider Name
Calleen Ann Cannon
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
265 E Chubbuck Road, Chubbuck, ID, 83202-5055
Phone Number
208-237-1711
Fax Number
208-237-9806
Provider Enumeration Date
06/28/2007
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
265 E Chubbuck Road
City
State
Zip
83202-5055
Phone Number
208-237-1711
Fax Number
208-237-9806
person
Provider Business Mailing Address Details
Address
265 E Chubbuck Road
City
State
Zip
83202-5055
Phone Number
208-237-1711
Fax Number
208-237-9806
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCPC-4273 (Idaho)
Definition
Definition to come...
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