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NPI Profile for CONOR CANNON I in WESTBROOK, ME.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI Number | 1184171613 |
|
| Status | Active | |
| Credentials | LCPC-C | |
| Entity | Individual | |
| Enumeration date | 09/01/2016 | |
| Last updated | 05/03/2026 - About a month ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CONOR CANNON I
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CONOR CANNON I, LCPC-C