Individual
COURTNEY MICHELLE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 HIDER LN, CLEMENTON, NJ 08021-4825
(856) 537-2309
(856) 227-2184
Mailing address
770 WOODLANE RD, WESTAMPTON, NJ 08060-3804
(609) 267-5928
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2015
Last updated
09/12/2016
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