Individual
GLORIA CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
29000 US HIGHWAY 98 STE A102, DAPHNE, AL 36526-7203
(317) 289-7773
Mailing address
PO BOX 380621, BIRMINGHAM, AL 35238-0621
(317) 289-7773
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2950
MS
101YP2500X
Professional Counselor
Primary
LPC05211
AL
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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