JENNIFER CANNON, MHPS-PSS, Other Service Providers SPRING, TX

Contact Information

JENNIFER CANNON, MHPS-PSS

1411 WUNSCHE LOOP
#2079
SPRING, TX 77373-2079

Phone: 832-554-6541
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Other Service Providers	175T00000X
Driver	172A00000X
Health & Wellness Coach	171400000X
Health Educator	174H00000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for JENNIFER CANNON · (Female)

NPI Number	`1013515238`
Status	Active
Credentials	MHPS-PSS
Entity	Individual
Enumeration date	10/09/2020
Last updated	01/04/2022 - About 4 years ago
Sole proprietor ¹	Yes
Identifiers	TX License # 50025-0820 TX Medicaid D18305791 TX Other 50025-0821 TEXAS CERTIFICATION BOARD
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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