Sourada Cannon, Clarissa Breanne

Sourada Cannon, Clarissa Breanne is an sole proprietor health care provider with primary practice located at 820 16Th St , Galveston TX 77550-4960. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Sourada Cannon, Clarissa Breanne can be contacted via phone (760) 504-3099.

Contact Information

Primary practice address
820 16Th St Galveston TX 77550-4960
Phone: (760) 504-3099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 82764 Texas

Profile Details

NPI number 1538806096
LBN Legal business name Sourada Cannon, Clarissa Breanne
Credentials M.A., LPC,NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2022
Last updated May 17th, 2022 - 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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