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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC3836 (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.