Cannon, Lisa
Cannon, Lisa is an sole proprietor health care provider with primary practice located at 100 Saw Mill Rd Ste 3200 , Lafayette IN 47905-5597. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cannon, Lisa can be contacted via phone (765) 267-8534.Contact Information
Primary practice address
100 Saw Mill Rd Ste 3200
Lafayette IN 47905-5597
Phone: (765) 267-8534
Fax: (765) 374-0866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34007012A | Indiana |
Profile Details
| NPI number | 1861809832 |
|---|---|
| LBN Legal business name | Cannon, Lisa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2014 |
| Last updated | Nov 29th, 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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