Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Krystal Cannon, SWA, QMHS

Individual provider Case Manager/Care Coordinator · NPI 1619493897

Krystal Cannon, SWA, QMHS is a Case Manager/Care Coordinator in Mount Vernon, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

8402 Blackjack Rd
Mount Vernon, OH 43050-9193
Phone: (740) 397-0442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence W.1700001 (OH)

Record details

NPI number1619493897
Entity typeIndividual (Type 1)
GenderFemale
Credentials SWA , QMHS
Sole proprietorNo
NPI enumeratedAugust 18, 2017
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

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