| Calleen Cannon Counseling Llc | |
|
845 W Center St Pocatello ID 83204-4205 | |
| (208) 295-9430 | |
| (208) 213-5765 |
| Full Name | Calleen Cannon Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 845 W Center St, Pocatello, Idaho |
| Authorized Official Name and Position | Calleen Ann Cannon (OWNER) |
| Authorized Official Contact | 2082411689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calleen Cannon Counseling Llc 845 W Center St Pocatello ID 83204-4205 Ph: (208) 295-9430 | Calleen Cannon Counseling Llc 845 W Center St Pocatello ID 83204-4205 Ph: (208) 295-9430 |
| NPI Number | 1588462105 |
|---|---|
| Provider Enumeration Date | 03/07/2025 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588462105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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