Individual provider · Type 1 NPI

Thomas James Cannon, CDCA

Addiction (Substance Use Disorder) Counselor · Jackson, OH

NPI number 1992327050 Active

Practice location

84 E Mound St
Jackson, OH 45640-1226

Call (740) 577-3834 Map

Mailing address

95 E Wood Ave
Jackson, OH 45640-1259

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1992327050

Thomas James Cannon, CDCA's National Provider Identifier is 1992327050, issued on May 12, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, OH. The record was last updated on May 12, 2020.