Female

Calleen A. Cannon LCPC

Professional Counselor in Chubbuck, ID(View on Map)

Full Name

Calleen Ann Cannon LCPC

NPI Number

1316144819

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/28/2007

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Idaho

License Number

LCPC-4273

Contact
Information

Purpose

Mailing
Location

Address

265 E CHUBBUCK ROAD
265 E CHUBBUCK ROAD

City

Chubbuck
Chubbuck

State

ID
ID

Postal Code

83202-5055
83202-5055

Country

US
US

Telephone Number

(208) 237-1711
(208) 237-1711

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

Data last updated by provider on 08/08/2024

Provider Address

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