person
Kimberly Michelle Cannon
Professional Counselor in Austin, Texas
NPI 1528786365

Kimberly Michelle Cannon is a Professional Counselor based in Atlanta, TX and is specialized in Professional. Kimberly Michelle Cannon practices in Austin, TX. The NPI Number for Kimberly Michelle Cannon is 1528786365 and holds a License No. 88750 (Texas).

The current practice location address for Kimberly Michelle Cannon is 9300 Research Blvd Ste 320, Austin, TX and can be reached out via phone at 855-284-7483 and via fax at 617-807-0958.

Location: 9300 Research Blvd Ste 320, Austin, TX, 30374-8465
person
Provider Profile Details
NPI Number
1528786365
Provider Name
Kimberly Michelle Cannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
9300 Research Blvd Ste 320, Austin, TX, 30374-8465
Phone Number
855-284-7483
Fax Number
617-807-0958
Provider Enumeration Date
08/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9300 Research Blvd Ste 320
City
State
Zip
78759-6569
Phone Number
855-284-7483
Fax Number
617-807-0958
person
Provider Business Mailing Address Details
Address
9300 Research Blvd Ste 320
City
State
Zip
78759-6569
Phone Number
855-284-7483
Fax Number
617-807-0958
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
88750 (Texas)
Definition
Definition to come...
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