Individual
PAMELA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
902 DEVILLE LN, RUSTON, LA 71270-6313
(318) 255-5753
(318) 242-4698
Mailing address
PO BOX 929, RUSTON, LA 71273-0929
(318) 255-5753
(318) 242-4698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1952
LA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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