MR. FRED REEVES CANNON III M.A., LPC, BCPCC
NPI 1295961019
Counselor - Professional in Florence, SC

Q: What is Fred Cannon's NPI number?

The NPI number for Fred Cannon is 1295961019. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Q: What is Fred Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Fred Cannon was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 08, 2009

1140 3RD LOOP RD, FLORENCE, SC 29505(843) 662-2021(843) 662-2021 Get Directions Write a Review

NPPES record last updated: June 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Fred Reeves Cannon Iii M.a., Lpc, Bcpcc NPPES

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

MR. FRED REEVES CANNON III M.A., LPC, BCPCC (NPI 1295961019) is an individual professional provider in Florence, South Carolina, licensed in South Carolina (5016) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1295961019

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. FRED REEVES CANNON IIICredential: M.A., LPC, BCPCC

Location Address1140 3RD LOOP RDFlorence, SC 29505-3709

Mailing Address1140 3rd Loop RdFlorence, SC 29505-3709 · (843) 662-2021 · Fax (843) 662-2021

Phone(843) 662-2021

Fax(843) 662-2021

Sole ProprietorYes

Enumeration DateJune 8, 2009

✔ NPI 1295961019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 5016

Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 5016 (SC)

1140 3RD LOOP RD, Florence, SC 29505

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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 Fred Cannon's NPI number?

The NPI number for Fred Cannon is 1295961019. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Fred Cannon located?

Fred Cannon practices at 1140 3rd Loop Rd, Florence, SC 29505. The listed phone number is (843) 662-2021.

What is Fred Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Fred Cannon was last updated on June 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.