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

Renetta Dawn Cannon, LSAA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1750615134

Renetta Dawn Cannon, LSAA is an Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.

Licensed in
NM
In the registry since
2009

Practice location Address checks out

600 1st St NW Ste 200
Albuquerque, NM 87102-2311
Phone: (505) 224-9124
Fax: (505) 247-9503
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 · Licence 0084181 (NM)

Record details

NPI number1750615134
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSAA
Sole proprietorNo
NPI enumeratedOctober 1, 2009
Last updated in NPPESOctober 1, 2009

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