Individual provider · Type 1 NPI
Starre Cannon, LPC
Professional Counselor · Decatur, GA
NPI number
1407464563
Active
Practice location
3183 Tarian Way
Decatur, GA 30034-5539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC011620 (GA) |
Professional Counselor: Definition to come...
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About NPI 1407464563
Starre Cannon, LPC's National Provider Identifier is 1407464563, issued on Jul 15, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, GA. The record was last updated on Jul 15, 2020.