Cannon, Joan
Cannon, Joan is an individual health care provider with primary practice located at 4715 W 116Th St , Zionsville IN 46077-9311. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cannon, Joan can be contacted via phone (317) 873-8140.Contact Information
Primary practice address
4715 W 116Th St
Zionsville IN 46077-9311
Phone: (317) 873-8140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 35001572A | Indiana |
Profile Details
| NPI number | 1407058001 |
|---|---|
| LBN Legal business name | Cannon, Joan |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407058001 | NPPES |
| Indiana | Other | 35001572A | LMFT LICENSE # |
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