Cannon, Misty

Cannon, Misty is an individual health care provider with primary practice located at 84 E Mound St , Jackson OH 45640-1226. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Cannon, Misty can be contacted via phone (740) 577-8348.

Contact Information

Primary practice address
84 E Mound St Jackson OH 45640-1226
Fax:
Website:

Profile Details

NPI number 1053933176
LBN Legal business name Cannon, Misty
Credentials CDCA
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2020
Last updated Aug 9th, 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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