Cannon, Tucker Croxall

Cannon, Tucker Croxall is an sole proprietor health care provider with primary practice located at 2046 Allen Ave Rm 100 , Altadena CA 91001-3424. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Cannon, Tucker Croxall can be contacted via phone (626) 660-9419.

Contact Information

Primary practice address
2046 Allen Ave Rm 100 Altadena CA 91001-3424
Phone: (626) 660-9419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 28707 California
Behavioral Health & Social Service Providers / School 1041S0200X 18784 California
Behavioral Health & Social Service Providers / School 1041S0200X 28707 California

Profile Details

NPI number 1205969623
LBN Legal business name Cannon, Tucker Croxall
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2007
Last updated Nov 2nd, 2012 - about 13 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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