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)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