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

Mrs. Misty Cannon, CDCA

Individual provider Case Manager/Care Coordinator · NPI 1053933176

Mrs. Misty Cannon, CDCA is a Case Manager/Care Coordinator in Jackson, Ohio. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

84 E Mound St
Jackson, OH 45640-1226
Phone: (740) 577-8348
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1053933176
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedMay 12, 2020
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address2100 Big Rock Rd, Jackson, OH 45640-9406

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