EMILY ANNE VAN CANNON

PORTLAND, ME
NPI1700021839
Former NameEMILY ANNE VAN STRIEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ME  XL4264)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  CAC4077)
104100000X Social Worker
(Licence: ME  LSX11430)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ME  LC4548)
Enumeration Date2008-12-03
Last Update Date2015-02-13
Business Address
-- EMILY ANNE VAN CANNON LCPC-C, LADC
44 OAK ST
PORTLAND, ME 04101-3939
Phone number: 207-756-4905
Mailing Address
-- EMILY ANNE VAN CANNON LCPC-C, LADC
29 ALFRED ST
SOUTH PORTLAND, ME 04106-6302
Phone number: 207-756-4905