Mr. King Edward Cannon Jr.
Mr. King Edward Cannon Jr. is a Peer Specialist in Sorrento, Louisiana. Licensed in Louisiana. Registered with an NPI since 2023.
- Licensed in
- LA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
7384 John Leblanc BlvdSorrento, LA 70778-3231
Phone: (225) 310-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 175T00000X (LA) |
Record details
| NPI number | 1821791336 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 23, 2023 |
| Last updated in NPPES | March 24, 2023 |
| Certification date | March 24, 2023 |
Other providers in Sorrento
-
Jacques Robert Arceneaux, PSS
7384 John Leblanc Blvd, Sorrento, LA 70778-3231 · (225) 310-2600
-
Amanda Tessitore, PSS
7384 John Leblanc Blvd, Sorrento, LA 70778-3231 · (225) 279-7249