Individual provider · Type 1 NPI

David Cannon, LPC

Mental Health Counselor · Rathdrum, ID

NPI number 1851176069 Active

Practice location

8052 W Main St Unit 202
Rathdrum, ID 83858-4915

Call (208) 661-0553 Map

Mailing address

14615 Reagan Ct
Rathdrum, ID 83858-8327

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1851176069

David Cannon, LPC's National Provider Identifier is 1851176069, issued on Aug 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rathdrum, ID. The record was last updated on Sep 24, 2026.