Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KING EDWARD CANNON JR.
ActiveMR. KING EDWARD CANNON JR. is a Peer Specialist healthcare provider located in SORRENTO, Louisiana. NPI 1821791336 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SORRENTO, LA
Registration Details
- NPI Number
- 1821791336
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2023 (3.3569300675503 yrs)
- Last Updated
- Mar 24, 2023
- License
-
175T00000X (LA)
Practice Information
- Address
-
7384 JOHN LEBLANC BLVDSORRENTO, LA, 707783231Browse LA providers · Browse ZIP 70778
- Phone
- 2253102600
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Peer Specialist Providers in SORRENTO, LA
| Name | Credential | NPI |
|---|---|---|
| JACQUES ROBERT ARCENEAUX | PSS | 1316641939 |
| AMANDA TESSITORE | PSS | 1073218020 |
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.