Individual
DR. JOHN T. CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD LMHP LADC
Contact information
Practice address
1045 N 115TH ST STE 205, OMAHA, NE 68154-4422
(402) 660-8049
Mailing address
16305 DECATUR CIR, OMAHA, NE 68118-2418
(402) 660-8049
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
372
NE
101YM0800X
Mental Health Counselor
Primary
1535
NE
Other
Enumeration date
03/22/2007
Last updated
11/08/2024
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