Cannon Therapeutic

NPI #1497624951 in Midway, Utah

Provider Information

NPI Number: 1497624951
Entity Type: Organization
Organization Name: Cannon Therapeutic
Primary Specialty: Social Worker - Clinical
Enumeration Date: Nov 3, 2025
Last Updated: Nov 3, 2025

Practice Location

Address: 125 W MAIN ST UNIT 324
City: Midway
State: Utah
ZIP Code: 84049-8014
Phone: (949) 244-9982

Authorized Official

Name: TUCKER CROXALL CANNON, LCSW
Title: OWNER, PROVIDER
Phone: (949) 244-9982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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