Individual provider · Type 1 NPI

James E. Cannon

Addiction (Substance Use Disorder) Counselor · Fairbanks, AK

NPI number 1740945658 Active

Practice location

542 4th Ave Ste B101
Fairbanks, AK 99701-4707

Mailing address

PO Box 73004
Fairbanks, AK 99707-3004

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1740945658

James E. Cannon's National Provider Identifier is 1740945658, issued on Nov 4, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairbanks, AK. The record was last updated on Nov 4, 2021.