EMILY ANNE VAN CANNON LCPC-C LADC NPI 1700021839

NPI Information

NPI: 1700021839
Provider Name: EMILY ANNE VAN CANNON, LCPC-C, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
44 OAK ST
PORTLAND, ME
ZIP 04101
Phone: (207) 756-4905
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Emily Anne Van Cannon, LCPC-C, LADC is a mental health counselor in Portland, ME. Emily Anne Van Cannon, LCPC-C, LADC NPI is 1700021839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

44 OAK ST
PORTLAND, ME
ZIP 04101-939
Phone: (207) 756-4905

The enumeration date for this NPI number is 12/3/2008 and was last updated on 2/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CAC4077	MAINE	No
2	104100000X	Social Worker		LSX11430	MAINE	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LC4548	MAINE	No
4	101YM0800X	Counselor	Mental Health	XL4264	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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