HORTENCIA L CANNON
NPI 1457980435
Counselor - Mental Health in Eustis, FL
Active since April 02, 2020
About Hortencia L Cannon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HORTENCIA L CANNON (NPI 1457980435) is an individual mental health provider in Eustis, Florida and active in the NPI registry since April 2020.
NPPES Registry Identity
NPI1457980435
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHORTENCIA L CANNON
Location Address202 W BADGER AVEEustis, FL 32726-4505
Mailing Address202 W Badger AveEustis, FL 32726-4505 · (352) 602-8883
Phone(352) 602-8883
Sole ProprietorNo
Enumeration DateApril 2, 2020
NPPES CertifiedApril 2, 2020
✔ NPI 1457980435 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
202 W BADGER AVE, Eustis, FL 32726
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457980435, enumerated as an "individual" on April 02, 2020.
The provider is located at 202 W BADGER AVE EUSTIS, FL 32726 and the phone number is (352) 602-8883.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
