Individual
CHARLOTTE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 886-2205
Mailing address
607 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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