BRENDA CANNON, BA IN PSYCHOLOGY

Intellectual and/or Developmental Disabilities Residential Treatment Facility · RALEIGH, NC

Individual Active NPI 1114490877

Taxonomy & licensure

Specialty	Code	Primary	License	State
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	✓	MHL-092-898	NC
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X		—	NC

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

BRENDA CANNON, BA IN PSYCHOLOGY — NPI 1114490877