RENETTA DAWN CANNON LSAA
NPI 1750615134
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Active since October 01, 2009
600 1ST ST NW STE 200, ALBUQUERQUE, NM 87102(505) 224-9124(505) 247-9503 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renetta Dawn Cannon Lsaa NPPES

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

RENETTA DAWN CANNON LSAA (NPI 1750615134) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (0084181) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1750615134
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameRENETTA DAWN CANNONCredential: LSAA
Location Address600 1ST ST NW STE 200Albuquerque, NM 87102-2311
Mailing Address600 1st St Nw Ste 200Albuquerque, NM 87102-2311 · (505) 224-9124 · Fax (505) 247-9503
Fax(505) 247-9503
Sole ProprietorNo
Enumeration DateOctober 1, 2009
NPI 1750615134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NM · 0084181
600 1ST ST NW STE 200, Albuquerque, NM 87102

Other Identifiers 1

Medicaid71750274NM

Other Providers at the Same Location NPPES 15

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

Counselor (Mental Health)
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102
Counselor
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102
Social Worker (Clinical)
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102
Social Worker
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102
Counselor
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102
Social Worker
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102
Counselor (Addiction (Substance Use Disorder))
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102
Case Management
600 1ST ST NW STE 200
ALBUQUERQUE, NM 87102

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 Renetta Cannon's NPI number?

The NPI number for Renetta Cannon is 1750615134. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Where is Renetta Cannon located?

Renetta Cannon practices at 600 1st St NW Ste 200, Albuquerque, NM 87102. The listed phone number is (505) 224-9124.

What is Renetta 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 Renetta Cannon was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.