MS. Mary Sprowl Cannon, MA, LMFT
MS. Mary Sprowl Cannon, MA, LMFT is a Marriage and Family Therapist in San Jose, California. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 26
- Licensed in
- CA
- In the registry since
- 2011
What do these letters mean?
Practice location Address checks out
1101 S Winchester Blvd Ste A101San Jose, CA 95128-3901
Phone: (408) 859-4983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence MFC40685 (CA) |
|---|
Record details
| NPI number | 1053600825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA , LMFT |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2011 |
| Last updated in NPPES | April 1, 2021 |
| Certification date | April 1, 2021 |
Medicare enrollment
| Medicare specialty | MARRIAGE AND FAMILY THERAPIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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