Individual
JESSICA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1031 KENDALL CT, WESTFIELD, IN 46074-8579
(804) 247-5640
(317) 836-1520
Mailing address
379 BOLIN CT, CARMEL, IN 46032-8532
(804) 247-5640
(317) 836-1520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
39003442A
IN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/22/2008
Last updated
02/24/2023
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