Individual provider · Type 1 NPI

Michael L. Cannon

Addiction (Substance Use Disorder) Counselor · Lithonia, GA

NPI number 1861952251 Active

Practice location

5206 Walnut Ct
Lithonia, GA 30038-4873

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0578 (GA)

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

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About NPI 1861952251

Michael L. Cannon's National Provider Identifier is 1861952251, issued on Mar 21, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lithonia, GA. The record was last updated on Mar 21, 2019.