MR. CLINT WAYNE CANNON B.A.
NPI 1740494327
Counselor - Mental Health in Mcalester, OK
Active since May 10, 2007
About Mr. Clint Wayne Cannon B.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLINT WAYNE CANNON B.A. (NPI 1740494327) is an individual mental health provider in Mcalester, Oklahoma and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1740494327
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CLINT WAYNE CANNONCredential: B.A.
Location Address1101 E MONROE AVEMcalester, OK 74501-4815
Mailing Address1101 E Monroe AveMcalester, OK 74501-4815 · (918) 426-7800 · Fax (918) 426-5526
Phone(918) 426-7800
Fax(918) 426-5526
Sole ProprietorNo
Enumeration DateMay 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740494327 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1101 E MONROE AVE, Mcalester, OK 74501
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.
Counselor (Professional)
1101 E MONROE AVE
MCALESTER, OK 74501
MCALESTER, OK 74501
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740494327, enumerated as an "individual" on May 10, 2007.
The provider is located at 1101 E MONROE AVE MCALESTER, OK 74501 and the phone number is (918) 426-7800.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
