Individual provider · Type 1 NPI

Jeremy Jon Cannon

Counselor · Lakeland, FL

NPI number 1578842258 Active

Practice location

5110 S Florida Ave Ste 105
Lakeland, FL 33813-2517

Call (863) 450-9864 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1578842258

Jeremy Jon Cannon's National Provider Identifier is 1578842258, issued on Aug 11, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Lakeland, FL. The record was last updated on Aug 15, 2011.