Organization
CANNON COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN CANNON (OWNER)
(901) 303-8397
Entity
Organization
Contact information
Practice address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(901) 303-8397
Mailing address
6000 POPLAR AVE STE 250, MEMPHIS, TN 38119-3974
(901) 303-8397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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