Organization
CANNONIER PSYCHOLOGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAREECE CANNONIER PSYD (OWNER)
(786) 717-0008
Entity
Organization
Contact information
Practice address
1700 NORTHSIDE DR NW STE A7, ATLANTA, GA 30318-2695
(678) 383-7393
Mailing address
318 PINHURST DR, ATLANTA, GA 30339-3696
(786) 717-0008
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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