person
Mrs. Phoebe Geralyn Cannon, LCSW
Mental Health Counselor in Fayetteville, New York
NPI 1932314861

Phoebe Geralyn Cannon is a Mental Health Counselor based in Fayetteville, NY and is specialized in Mental Health. Phoebe Geralyn Cannon practices in Fayetteville, NY and has the professional credentials of LCSW. The NPI Number for Phoebe Geralyn Cannon is 1932314861 and holds a License No. R052773 (New York).

The current practice location address for Phoebe Geralyn Cannon is 7000 E Genesee St Bldg C, Fayetteville, NY and can be reached out via phone at 315-446-2110 and via fax at 315-446-2110.

Location: 7000 E Genesee St Bldg C, Fayetteville, NY, 13066-1131
person
Provider Profile Details
NPI Number
1932314861
Provider Name
Phoebe Geralyn Cannon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
7000 E Genesee St Bldg C, Fayetteville, NY, 13066-1131
Phone Number
315-446-2110
Fax Number
315-446-2110
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7000 E Genesee St Bldg C
City
State
Zip
13066-1131
Phone Number
315-446-2110
Fax Number
315-446-2110
person
Provider Business Mailing Address Details
Address
7000 E Genesee St Bldg C
City
State
Zip
13066-1131
Phone Number
315-446-2110
Fax Number
315-446-2110
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
R052773 (New York)
Definition
Definition to come...
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