Individual provider · Type 1 NPI

Renetta Dawn Cannon, LSAA

Addiction (Substance Use Disorder) Counselor · Albuquerque, NM

NPI number 1750615134 Active

Practice location

600 1st St NW Ste 200
Albuquerque, NM 87102-2311

Call (505) 224-9124 Map

Fax (505) 247-9503

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0084181 (NM)

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

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About NPI 1750615134

Renetta Dawn Cannon, LSAA's National Provider Identifier is 1750615134, issued on Oct 1, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 1, 2009.