Individual
JOHNNA RENEE CANTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-6223
(270) 442-3326
Mailing address
425 BROADWAY ST, PADUCAH, KY 42001-0713
(270) 442-6223
(270) 442-3326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
KY-2677
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396
FIRST STEPS CBIS PROVIDER
KY
Enumeration date
02/21/2007
Last updated
06/13/2016
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