Individual provider · Type 1 NPI

Misty Cannon, CDCA

Addiction (Substance Use Disorder) Counselor · Jackson, OH

NPI number 1053933176 Active

Practice location

84 E Mound St
Jackson, OH 45640-1226

Call (740) 577-8348 Map

Mailing address

2100 Big Rock Rd
Jackson, OH 45640-9406

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053933176

Misty Cannon, CDCA's National Provider Identifier is 1053933176, issued on May 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, OH. The record was last updated on Aug 9, 2023.