Provider / Organization | NPI | Date Certified |
---|---|---|
JOHN T. CANNON | 1700903143 | 2024-11-08 |
John T. Cannon is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700903143. Registration indicates John T. Cannon is a provider of access to substance use disorder providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Dr. John T. Cannon PHD LMHP LADC |
Practice Office Address | 1045 N 115TH ST STE 205 OMAHA, NE US |
Practice Office Telephone | 4026608049 |
Mailing Address | 16305 DECATUR CIR OMAHA, NE 681182418 US |
Business Telephone | 4026608049 |
Code | Practice | License No State |
---|---|---|
101YA0400X | Access to Substance Use Disorder Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Addiction (Substance Use Disorder), Behavioral Health/Substance Abuse/Psychiatry Counselor Addiction Substance Use Disorder Behavioral Health & Social Service Providers Counselor | 372
NE |
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 1535
NE |