Cannon Edward Braveheart
NPI #1013758093 in Harrisville, Utah
Provider Information
- NPI Number
- 1013758093
- Entity Type
- Individual
- Name
- Cannon Edward Braveheart
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jun 4, 2024
- Last Updated
- Jun 4, 2024
Practice Location
- Address
- 2240 N HWY 89 STE C
- City
- Harrisville
- State
- Utah
- ZIP Code
- 84404-2824
- Phone
- (877) 393-6232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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