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Provider Information for 1902233547


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Ms. BARBARA EMILY CANNON MA, LMHC


Sex: Female

NPI: 1902233547
Last Updated: 2013-09-27
Certification Date:

Details

NameValue
NPI1902233547
Enumeration Date2013-09-27
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 391 WESTERN AVE
ALBANY, NY 12203-1401
United States

Phone: 518-242-4731 | Fax:518-242-4747
 
Primary Practice Address 391 WESTERN AVE
ALBANY, NY 12203-1401
United States

Phone: 518-242-4731 | Fax:518-242-4747
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthNY004608