Female

Connie J. Hannon LMHC

Mental Health Counselor in Starke, FL(View on Map)

Full Name

Connie J Hannon LMHC

NPI Number

1831525492

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/16/2013

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

MH11301

Contact
Information

Purpose

Mailing
Location

Address

135 N CHURCH ST
410 E JEFFERSON ST

City

Starke
Starke

State

FL
FL

Postal Code

32091-3411
32091-3333

Country

US
US

Telephone Number

(352) 575-3413
(283) 524-8996

Health Information Exchange

Endpoint Type

OTHERS

Endpoint

channon@conniehannon.com

Endpoint Description

CHANNON COUNSELING & PSYCHOTHERAPY

Use

Health Information Exchange (HIE)

Content Type

CSV

Affiliation

N

Endpoint Location

410 E Jefferson StStarke, FL320913333US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/24/2020

Provider Address

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