MICHAEL L CANNON

LITHONIA, GA
NPI1861952251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  0578)
Enumeration Date2019-03-21
Last Update Date2019-03-21
Business Address
MICHAEL L CANNON
5206 WALNUT CT
LITHONIA, GA 30038-4873
Phone number: 678-481-7808
Mailing Address
MICHAEL L CANNON
5206 WALNUT CT
LITHONIA, GA 30038-4873
Phone number: 678-481-7808
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