ALFRED BATES CANON LPC NPI 1619401585

NPI Information

  • NPI: 1619401585
  • Provider Name: ALFRED BATES CANON, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 2849B HENDERSON MILL RD
    ATLANTA, GA
    ZIP 30341
  • Phone: (678) 465-7537

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NPI Details

Alfred Bates Canon, LPC is a professional counselor in Atlanta, GA. Alfred Bates Canon, LPC NPI is 1619401585. 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:

2849B HENDERSON MILL RD
ATLANTA, GA
ZIP 30341-772
Phone: (678) 465-7537

The enumeration date for this NPI number is 4/17/2017 and was last updated on 4/17/2017.

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
1101YP2500XCounselorProfessional002599GEORGIAYes

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: 3/30/2025

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