Individual provider · Type 1 NPI

Marla Cannefax, M.S., LSSP, LPC

Professional Counselor · Tyler, TX

NPI number 1619411204 Active

Practice location

1800 Shiloh Rd Ste 205
Tyler, TX 75703-2456

Call (903) 312-4901 Map

Other practice locations

  • 121 S Broadway Ave Ste 528, Tyler, TX 75702-7209 · (903) 330-5579
  • 3800 Paluxy Dr, Tyler, TX 75703-1629 · (903) 283-8729

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X72989 (TX)

Professional Counselor: Definition to come...

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About NPI 1619411204

Marla Cannefax, M.S., LSSP, LPC's National Provider Identifier is 1619411204, issued on Dec 15, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Jul 13, 2023.