Gregory Cannon

NPI #1740644517 in Crete, Illinois

Provider Information

NPI Number: 1740644517
Entity Type: Individual
Name: Gregory Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Apr 7, 2016
Last Updated: Apr 7, 2016

Practice Location

Address: 250 ARBON CT
City: Crete
State: Illinois
ZIP Code: 60417-1121
Phone: (708) 704-2427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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