Calleen Ann Cannon in Chubbuck - Mental Health
Calleen Ann Cannon - NPI 1316144819
Calleen Ann Cannon is a Mental Health in Chubbuck, Idaho. Calleen Ann Cannon practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Calleen Ann Cannon is 1316144819. The last update date is 2023-04-24.
Calleen Ann Cannon's current location address is 265 E Chubbuck Road, Chubbuck, Idaho. You can contact this provider via phone number 2082371711 and fax number 2082379806. The mailing address for Calleen Ann Cannon is 265 E Chubbuck Road, Chubbuck, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Calleen Ann Cannon |
|---|---|
| Address | 265 E Chubbuck Road, Chubbuck, Idaho |
| Phone Number | 2082371711 |
| Fax Number | 2082379806 |
| Sole Proprietor | N |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1316144819 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2023-04-24 |
Provider Mailing Address Detail
| Address | 265 E Chubbuck Road |
|---|---|
| City | Chubbuck |
| State | Idaho (ID) |
| Post Code | 832025055 |
| Phone Number | 2082371711 |
| Fax Number | 2082379806 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LPC 3723 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Calleen Ann Cannon by the Centers for Medicare & Medicaid Services?
The Calleen Ann Cannon has been issued the NPI (National Provider Identifier) 1316144819. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Calleen Ann Cannon's facilities are geographically located?
The facilities of Calleen Ann Cannon are physically situated at the following location: 265 E Chubbuck Road, Chubbuck, ID, 832025055.
What is Calleen Ann Cannon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Calleen Ann Cannon's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
On what date did the Calleen Ann Cannon receive its 1316144819 assignment from the Centers for Medicare & Medicaid Services?
The Calleen Ann Cannon was assigned its 1316144819 by the Centers for Medicare & Medicaid Services on 2007-06-28.
As of what date were the Calleen Ann Cannon's details last updated?
The information pertaining to the Calleen Ann Cannon, including its address, specialty, and other details, was most recently updated on 2023-04-24.