Individual provider · Type 1 NPI
Christina R. Cannon
Clinical Social Worker · Hurlburt Field, FL
Practice location
130 Letourneau Ave. Bldg. 90311
Hurlburt Field, FL 32544
Mailing address
5755 Marigold Loop
Crestview, FL 32539-8406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | SW20985 (FL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1043909765
Christina R. Cannon's National Provider Identifier is 1043909765, issued on May 8, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hurlburt Field, FL. The record was last updated on May 8, 2023.