Individual provider · Type 1 NPI
Brenda Jean Cannon, MS, NCC, LPC
Counselor · Laramie, WY
NPI number
1962638908
Active
Practice location
1317 Boswell Dr
Laramie, WY 82070-5453
Fax (307) 742-6702
Mailing address
1050 N 3rd St, Suite B1
Laramie, WY 82072-2544
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC #1214 (WY) |
| Professional Counselor | 101YP2500X | LPC #1214 (WY) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1962638908
Brenda Jean Cannon, MS, NCC, LPC's National Provider Identifier is 1962638908, issued on Jun 4, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Laramie, WY. The record was last updated on Oct 10, 2012.