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MRS. MISTY CANNON CDCA
NPI 1053933176
Counselor - Addiction (Substance Use Disorder) in Jackson, OH

Active since May 12, 2020
84 E MOUND ST, JACKSON, OH 45640(740) 577-8348 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 6, 2020, May 12, 2020 (3 updates tracked since 2020).

About Mrs. Misty Cannon Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MISTY CANNON CDCA (NPI 1053933176) is an individual addiction (substance use disorder) provider in Jackson, Ohio and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1053933176
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. MISTY CANNONCredential: CDCA
Location Address84 E MOUND STJackson, OH 45640-1226
Mailing Address2100 Big Rock RdJackson, OH 45640-9406 · (740) 978-0755
Phone(740) 577-8348
Sole ProprietorNo
Enumeration DateMay 12, 2020
Last NPPES UpdateAugust 9, 20233 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1053933176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
84 E MOUND ST, Jackson, OH 45640
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Other Names 1

Other Name (5)Misty Doles

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEOFFREY SCOTT LEWIS CDCA
Case Manager/Care Coordinator
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 577-3834
WILLIAM LADD HARRIS
Counselor (Addiction (Substance Use Disorder))
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 488-4075
ALLISON GUTIERREZ LPCC
Counselor (Professional)
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 703-3500
TAYLOR JARVIS
Case Manager/Care Coordinator
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 577-8348
BRUCE EDWARD DAMERON
Case Manager/Care Coordinator
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 577-3834
BRUCE DANIEL REED JR.
Case Manager/Care Coordinator
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 577-3834
JUSTIN LEE OYER CDCA
Counselor (Addiction (Substance Use Disorder))
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 577-3834
JAMIE LYNN SCHRADER
Case Manager/Care Coordinator
84 E MOUND ST
JACKSON, OH 45640
Jackson County (740) 577-3834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Cannon's NPI number?

The NPI number for Misty Cannon is 1053933176. It was assigned to this individual provider in the NPPES registry on May 12, 2020. The provider is also known as Misty Doles.

Where is Misty Cannon located?

Misty Cannon practices at 84 E Mound St, Jackson, OH 45640. The listed phone number is (740) 577-8348.

What is Misty Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Misty Cannon was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.