Cannon, Courtney Michelle

Cannon, Courtney Michelle is an individual health care provider with primary practice located at 1611 Hider Ln , Clementon NJ 08021-4825. 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, Courtney Michelle can be contacted via phone (856) 537-2309.

Contact Information

Primary practice address
1611 Hider Ln Clementon NJ 08021-4825
Phone: (856) 537-2309
Fax: (856) 227-2184
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1447645148
LBN Legal business name Cannon, Courtney Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Sep 12th, 2016 - about 8 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.

Request for update

Popular Providers