Individual provider · Type 1 NPI

Dedra Dea Cannon

Addiction (Substance Use Disorder) Counselor · East Hazel Crest, IL

NPI number 1992384176 Active

Practice location

1909 Cheker Sq
East Hazel Crest, IL 60429-1442

Other practice locations

  • 1909 Cheker Sq, East Hazel Crest, IL 60429-1442 · (708) 647-3333

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1992384176

Dedra Dea Cannon's National Provider Identifier is 1992384176, issued on Apr 6, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Hazel Crest, IL. The record was last updated on Apr 6, 2021.