ANTHONY CANNON

ROSEBURG, OR
NPI1164317319
Other NameTONY CANNON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-06-10
Last Update Date2025-06-10
Business Address
ANTHONY CANNON
548 SE JACKSON ST
ROSEBURG, OR 97470-4983
Phone number: 541-440-3532
Mailing Address
ANTHONY CANNON
PO BOX 1121
ROSEBURG, OR 97470-0254
Phone number: 541-672-2691