Individual provider · Type 1 NPI
Thomas A. Cannon, LCPC
Professional Counselor · Portland, ME
NPI number
1124352083
Active
Practice location
165 Lancaster St
Portland, ME 04101-2406
Fax (207) 874-1044
Mailing address
78 Atlantic Pl
South Portland, ME 04106-2316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CC3836 (ME) |
Professional Counselor: Definition to come...
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About NPI 1124352083
Thomas A. Cannon, LCPC's National Provider Identifier is 1124352083, issued on Sep 25, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, ME. The record was last updated on Apr 20, 2015.