Individual
MRS. DAISHA RENEE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
312 11TH AVE W STE 201, KIRKLAND, WA 98033-5326
(425) 576-1817
Mailing address
12124 SE 292ND ST, AUBURN, WA 98092-2075
(253) 266-0183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61197776
WA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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