# LAURA ELISE PIERCE CANNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316303746
- **Gender:** F
- **Credential:** PMHNP, LPC, CAC II

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | APN.0999803-NP | CO | Yes |

## Other

- **Enumeration date:** 01/14/2016
- **Last updated:** 06/05/2024
