MS. Regina Cannon, REGISTERED PSYCHOTHE

NPI #1003202839 in Boulder, Colorado

Provider Information

NPI Number: 1003202839
Entity Type: Individual
Name: MS. Regina Cannon, REGISTERED PSYCHOTHE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: REGISTERED PSYCHOTHE
Enumeration Date: Apr 8, 2015
Last Updated: Aug 20, 2016

Practice Location

Address: 1333 IRIS AVE
City: Boulder
State: Colorado
ZIP Code: 80304-2226
Phone: (303) 443-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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