THOMAS JAMES CANNON CDCA NPI 1992327050

NPI Information

NPI: 1992327050
Provider Name: THOMAS JAMES CANNON, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
84 E MOUND ST
JACKSON, OH
ZIP 45640
Phone: (740) 577-3834
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Thomas James Cannon, CDCA is an addiction (substance use disorder) counselor in Jackson, OH. Thomas James Cannon, CDCA NPI is 1992327050. 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:

84 E MOUND ST
JACKSON, OH
ZIP 45640-226
Phone: (740) 577-3834

The enumeration date for this NPI number is 5/12/2020 and was last updated on 5/12/2020.

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)			Yes
2	171M00000X	Case Manager/Care Coordinator				No

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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