Individual
ANDREW STUART CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3824 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2011
(936) 558-6200
Mailing address
211 WORTHAM DR, NACOGDOCHES, TX 75965-2465
(903) 746-9329
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
88345
TX
Other
Enumeration date
12/13/2023
Last updated
12/14/2023
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