Individual
THERESE A. CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
117 LARKSPUR RD, C/O COUNSELING RESOURCE ASSOCIATES, INC., NEWARK, DE 19711-6863
(302) 738-9963
(302) 995-2121
Mailing address
117 LARKSPUR RD, C/O COUNSELING RESOURCE ASSOCIATES, INC., NEWARK, DE 19711-6863
(302) 738-9963
(302) 995-2121
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC -0000379
DE
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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