person
John Roy Cannon, LPCMH
Professional Counselor in Newark, Delaware
NPI 1487618211

John Roy Cannon is a Professional Counselor based in Newark, DE and is specialized in Professional. John Roy Cannon practices in Newark, DE and has the professional credentials of LPCMH. The NPI Number for John Roy Cannon is 1487618211 and holds a License No. 112 (Delaware).

The current practice location address for John Roy Cannon is 117 Larkspur Rd, Newark, DE and can be reached out via phone at 302-738-9963 and via fax at 302-995-2121.

Location: 117 Larkspur Rd, Newark, DE, 19711-6863
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Provider Profile Details
NPI Number
1487618211
Provider Name
John Roy Cannon
Credential
LPCMH
Provider Entity Type
Individual
Gender
Male
Address
117 Larkspur Rd, Newark, DE, 19711-6863
Phone Number
302-738-9963
Fax Number
302-995-2121
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2248072 01 DE CIGNA BEHAVIORAL HEALTH
1000036893 01 DE DE MED. ASSIST. PROGRAM
254526 01 DE COMPSYCH
364878 01 DE MHN/TRICARE
institution
Provider Business Practice Location Address Details
Address
117 Larkspur Rd
City
State
Zip
19711-6863
Phone Number
302-738-9963
Fax Number
302-995-2121
person
Provider Business Mailing Address Details
Address
117 Larkspur Rd
City
State
Zip
19711-6863
Phone Number
302-738-9963
Fax Number
302-995-2121
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
PC-0000008 (Delaware)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4331 (Delaware)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
112 (Delaware)
Definition
Definition to come...
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