Individual
MICHAEL KANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
41 WOODSTOCK RD, ROSWELL, GA 30075-3559
(770) 580-0036
Mailing address
41 WOODSTOCK RD, ROSWELL, GA 30075-3559
(770) 580-0036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013026
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
LD004005
GA
Other
Enumeration date
11/06/2019
Last updated
07/29/2024
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