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Individual

LAURA ELISE PIERCE CANNON

Active
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Individual

LAURA ELISE PIERCE CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP, LPC, CAC II

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACB.0007867
CO
101YP2500X
Professional Counselor
LPC.0012773
CO
163W00000X
Registered Nurse
RN.1657266
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0999803-NP
CO

Other

Enumeration date
01/14/2016
Last updated
06/05/2024
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