Cannon, Calleen Ann
Cannon, Calleen Ann is an individual health care provider with primary practice located at 265 E Chubbuck Road , Chubbuck ID 83202-5055. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Cannon, Calleen Ann can be contacted via phone (208) 237-1711.Contact Information
Primary practice address
265 E Chubbuck Road
Chubbuck ID 83202-5055
Phone: (208) 237-1711
Fax: (208) 237-9806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC 3723 | Idaho |
Profile Details
| NPI number | 1316144819 |
|---|---|
| LBN Legal business name | Cannon, Calleen Ann |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2007 |
| Last updated | Apr 24th, 2023 - about last year |
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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