SearchNorth CarolinaIntellectual and/or Developmental Disabilities Residential Treatment Facility

Brenda Cannon, BA IN PSYCHOLOGY

NPI 1114490877 · on the registry since 2019 · sole proprietor

Practice

Address
3105 Vico Ter
Raleigh, NC 27610
Phone
(919) 637-8831
Fax
(919) 890-5578

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Residential Treatment Facility
320600000X
Also registered as
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina