Renetta Dawn Cannon, LSAA
Counselor, Addiction (Substance Use Disorder) in Albuquerque, NM. Individual provider (NPI-1).
NPI number1750615134
StatusActive
Last updated in NPPESOct 1, 2009
Details
- NPI
- 1750615134
- Entity type
- Individual (NPI-1)
- Name
- Renetta Dawn Cannon
- Credential
- LSAA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 1, 2009
- Last updated
- Oct 1, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 0084181 | NM | Yes |
Practice location
600 1st St Nw Ste 200Albuquerque, NM 87102-2311
Phone 505-224-9124 · Fax 505-247-9503
Mailing address
600 1st St Nw Ste 200Albuquerque, NM 87102-2311
Phone 505-224-9124 · Fax 505-247-9503
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All 291 Addiction (Substance Use Disorder) Counselor providers in Albuquerque · All 29,333 providers in Albuquerque
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