Individual provider · Type 1 NPI

Lytina E. Cannon

Mental Health Counselor · Jacksonville, FL

NPI number 1285102962 Active

Practice location

4131 University Blvd S Ste 15
Jacksonville, FL 32216-4346

Call (904) 745-0067 Map

Mailing address

3801 Ozbourne Ave
Jacksonville, FL 32227-1825

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1285102962

Lytina E. Cannon's National Provider Identifier is 1285102962, issued on Nov 11, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 11, 2018.