Organization
CANNON WELLNESS COLLECTIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDRA Y CANNON (OWNER)
(517) 918-9386
Entity
Organization
Contact information
Practice address
1760 ABBEY RD STE 200, EAST LANSING, MI 48823-7302
(517) 215-5217
Mailing address
1760 ABBEY RD STE 200, EAST LANSING, MI 48823-7302
(517) 215-5217
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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