STEVEN CANNON

PALM DESERT, CA
NPI1881022663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  C0911291135)
Enumeration Date2013-10-14
Last Update Date2022-11-16
Business Address
STEVEN CANNON
74923 HOVLEY LN E
PALM DESERT, CA 92260-1927
Phone number: 760-770-2257
Mailing Address
STEVEN CANNON
7664 S US HIGHWAY 1 STE 100
PORT ST LUCIE, FL 34952-2315
Phone number: 772-310-3075