Organization
NORTHSTAR COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLYNN E, CANNON LPC (MENTAL HEALTH THERAPIST)
(256) 434-7505
Entity
Organization
Contact information
Practice address
26756 MAIN ST., ARDMORE, AL 35739
(256) 434-7505
(256) 646-1265
Mailing address
PO BOX 1084, ARDMORE, TN 38449-1084
(256) 434-7505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
08/03/2025
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