Cannon, Alyson M.

Cannon, Alyson M. is an sole proprietor health care provider with primary practice located at 400 Shadow Ln Ste 106 , Las Vegas NV 89106-4355. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Cannon, Alyson M. can be contacted via phone (702) 731-0909.

Contact Information

Primary practice address
400 Shadow Ln Ste 106 Las Vegas NV 89106-4355
Phone: (702) 731-0909
Fax: (702) 826-4757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2740 Nevada

Profile Details

NPI number 1528502804
LBN Legal business name Cannon, Alyson M.
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2016
Last updated Apr 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528502804 NPPES
Nevada MEDICAID 1528502804

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