Donna Michelle Cannon
Counselor in Laguna Hills, CA. Individual provider (NPI-1).
NPI number1164721635
StatusActive
Last updated in NPPESMar 22, 2011
Details
- NPI
- 1164721635
- Entity type
- Individual (NPI-1)
- Name
- Donna Michelle Cannon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2011
- Last updated
- Mar 22, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | CA | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
25321 Linda Vista DrLaguna Hills, CA 92653-5310
Phone 562-244-0504
Mailing address
25321 Linda Vista DrLaguna Hills, CA 92653-5310
Phone 562-244-0504
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