Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CLARISSA BREANNE SOURADA CANNON, M.A., LPC,NCC
Active Sole ProprietorMS. CLARISSA BREANNE SOURADA CANNON, M.A., LPC,NCC is a Counselor healthcare provider located in GALVESTON, Texas. NPI 1538806096 is currently active in the NPPES registry. Verify at CMS.
Counselor · GALVESTON, TX
Registration Details
- NPI Number
- 1538806096
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 17, 2022 (4.2206510800635 yrs)
- Last Updated
- May 17, 2022
- License
-
82764 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 16TH STGALVESTON, TX, 775504960Browse TX providers · Browse ZIP 77550
- Phone
- 7605043099
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in GALVESTON, TX
| Name | Credential | NPI |
|---|---|---|
| DEANNA LYNN BALL | LPC, LCDC | 1679847123 |
| MIKAYLA RHEA BROWN | — | 1962376178 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.