BRENDA JEAN CANNON


Address: 1317 Boswell Dr, Laramie, WY 82070-5453
Phone: 3078519736

BRENDA JEAN CANNON (NPI# 1962638908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962638908
Entity Type Individual
Full Name BRENDA JEAN CANNON
Credential MS, NCC, LPC
Practice Address 1317 Boswell Dr
Laramie
WY 82070-5453
Mailing Address 1050 N 3rd St
Suite B1
Laramie
WY 82072-2544
Practice Telephone 3078519736
Practice Fax Number 3077426702
Mailing Telephone 3077424769
Mailing Fax Number 3077426702
Enumeration Date 2009-06-04
Last Update Date 2012-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor LPC #1214 WY Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
LPC #1214 WY Behavioral Health & Social Service Providers

Other Providers BRENDA CANNON

NPI Name Taxonomy Address Enumeration
1114490877 Brenda Gail Cannon Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3105 Vico Ter, Raleigh, NC 27610-5951 2019-01-05

Office Location

Street Address 1317 BOSWELL DR
City LARAMIE
State WY
Zip Code 82070-5453

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875164 Roland Maldonado Registered Nurse 258 Nth Hayes Street, Laramie, WY 82070 2020-09-10
1528429917 Spark Community/Behavioral Health 903 S 9th Street, Laramie, WY 82070 2016-03-11
1578968509 Melissa Marie Allen Speech-Language Pathologist 1613 Clydesdale, Laramie, WY 82070 2014-11-04
1316362155 Charles M. Alexander Pharmacist 3112 E. Grand Ave, Laramie, WY 82070 2014-03-04
1447685706 Dale Warren Van Wig Pharmacist 544 N. Third St, Pharmacy, Laramie, WY 82070 2013-09-05
1558619973 Sarah Marie Pence Pharmacist 4005 East Grand Ave, Laramie, WY 82070 2012-08-15
1437435567 Stephanie Ingalls Case Manager/Care Coordinator 69 Osprey Rd., Laramie, WY 82070 2011-11-03
1457634040 The Clinic for Mental Health and Wellness Counselor 504 South 4th Street, Laramie, WY 82070 2011-09-21
1316177371 Patricia Ann Casey Occupational Therapist Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 2009-07-23
1134322340 Linda K Cross Case Manager/Care Coordinator 315 So 8th, Laramie, WY 82070 2007-06-06
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336783844 Developmental Preschool & Day Care Center Counselor 1771 Centennial Dr Ste 220, Laramie, WY 82070-8404 2019-10-29
1073915567 Lindsey Salisbury Counselor 2667 Monroe St, Laramie, WY 82070-6551 2014-09-16
1790198729 Deb Perkins Counselor 1412 Steele St, Laramie, WY 82070-4727 2014-06-06
1629407762 Transformational Wellness LLC Counselor 652 N Pierce St, Laramie, WY 82070-6032 2013-11-08
1881978435 Ashlee Mickelson Counselor 610 S 5th St, Laramie, WY 82070-3720 2011-09-30
1730463480 William Holt Counselor 1771 Centennial Dr, Laramie, WY 82070-8403 2011-09-29
1437389137 Nancy Knadler Counselor 813 E Kearney St, Laramie, WY 82070-3937 2009-07-16
1164662284 Lay-nah Blue Morris Counselor 2458 N 9th St Lot 72, Laramie, WY 82072-1790 2009-03-02
1386799914 Kathryn Nash Counselor 2020 E Grand Ave, Laramie, WY 82070-4383 2007-01-24
1881773083 Krista Marie-merezko Manton Counselor 1050 N 3rd St, Suite B-1, Laramie, WY 82072-2544 2006-11-06
Find all providers in LARAMIE

Competitor

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City LARAMIE
Zip Code 82070

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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