Cannon, Heather
Cannon, Heather is an sole proprietor health care provider with primary practice located at 758 Nw Rainbow St , Port St Lucie FL 34983-8309. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cannon, Heather can be contacted via phone (772) 834-4872.Contact Information
Primary practice address
758 Nw Rainbow St
Port St Lucie FL 34983-8309
Phone: (772) 834-4872
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW12512 | Florida |
Profile Details
| NPI number | 1760731178 |
|---|---|
| LBN Legal business name | Cannon, Heather |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2012 |
| Last updated | Aug 6th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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