Michael L Cannon

NPI #1861952251 in Lithonia, Georgia

Provider Information

NPI Number: 1861952251
Entity Type: Individual
Name: Michael L Cannon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 21, 2019
Last Updated: Mar 21, 2019

Practice Location

Address: 5206 WALNUT CT
City: Lithonia
State: Georgia
ZIP Code: 30038-4873
Phone: (678) 481-7808

Specialties & Taxonomy Codes

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

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