Individual
ANGELA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCC
Contact information
Practice address
5811 BELLINGRATH WAY, LITHONIA, GA 30058-3209
(404) 788-9237
Mailing address
5811 BELLINGRATH WAY, LITHONIA, GA 30058-3209
(404) 788-9237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010635
GA
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/28/2016
Last updated
03/20/2024
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