Individual
JA'REALLE MONET CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8326 MAIN ST BLDG 3, HOUMA, LA 70363-4871
(985) 868-2620
(985) 868-8474
Mailing address
8326 MAIN ST BLDG 3, HOUMA, LA 70363-4871
(985) 868-2620
(985) 868-8474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
19635
LA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
07/30/2026
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