Individual provider · Type 1 NPI

Hannah Star Cannon

Mental Health Counselor · Las Cruces, NM

NPI number 1255102182 Active

Practice location

665 E University Ave Ste A
Las Cruces, NM 88005-3363

Call (575) 373-5138 Map

Mailing address

1880 Tapestry Cir
Las Cruces, NM 88005-4308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255102182

Hannah Star Cannon's National Provider Identifier is 1255102182, issued on Jan 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Cruces, NM. The record was last updated on Jan 10, 2024.