Cannon, Cathlyn Carole

Cannon, Cathlyn Carole is an individual health care provider with primary practice located at 114 E Unaka Ave , Johnson City TN 37601-4624. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Cannon, Cathlyn Carole can be contacted via phone (865) 241-1408.

Contact Information

Primary practice address
114 E Unaka Ave Johnson City TN 37601-4624
Phone: (865) 241-1408
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 00511 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC 5511 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 001551 Tennessee

Profile Details

NPI number 1952420895
LBN Legal business name Cannon, Cathlyn Carole
Credentials L.P.C. MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Nov 27th, 2023 - about 2 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 1952420895 NPPES
Tennessee Other 59932800 MAGELLAN BEHAVIORAL HEALTH
Tennessee MEDICAID 1508371 MAGELLAN BEHAVIORAL HEALTH
Tennessee Other 2500701 MAGELLAN BEHAVIORAL HEALTH
Tennessee Other 4078991 MAGELLAN BEHAVIORAL HEALTH

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