Individual
EVE J. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LPAT, ATR-BC
Contact information
Practice address
8513 GLEN CAMPBELL RD, PHILADELPHIA, PA 19128-1212
(732) 713-5585
Mailing address
8513 GLEN CAMPBELL RD, PHILADELPHIA, PA 19128-1212
(732) 713-5585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC012268
PA
101YP2500X
Professional Counselor
Primary
PC012268
PA
221700000X
Art Therapist
—
NJ
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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