Individual
MR. JON SAMUEL CANIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
350 NORTHERN BLVD, SUITE 205, ALBANY, NY 12204-1000
(518) 273-0491
(518) 426-7701
Mailing address
350 NORTHERN BLVD, SUITE 205, ALBANY, NY 12204-1000
(518) 273-0491
(518) 426-7701
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000147
NY
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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