DR. JOHN T. CANNON PHD LMHP LADC NPI 1700903143

NPI Information

NPI: 1700903143
Provider Name: DR. JOHN T. CANNON, PHD LMHP LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
11605 ARBOR ST
SUITE 106
OMAHA, NE
ZIP 68144
Phone: (402) 330-4700
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DR. John T. Cannon, PHD LMHP LADC is an addiction (substance use disorder) counselor in Omaha, NE. DR. John T. Cannon, PHD LMHP LADC NPI is 1700903143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11605 ARBOR ST
SUITE 106
OMAHA, NE
ZIP 68144-982
Phone: (402) 330-4700
Fax: (402) 330-8815

The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/8/2007.

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)	372	NEBRASKA	Yes
2	101YM0800X	Counselor	Mental Health	1535	NEBRASKA	X
3	101YM0800X	Counselor	Mental Health	00829	IOWA	X

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: 11/14/2023

NPI Synchronization or Removal

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