Search › California › 1041S0200X
Tucker Cannon, LCSW
NPI 1205969623 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2046 Allen Ave Rm 100
Altadena, CA 91001 - Phone
- (626) 660-9419
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
1041S0200X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-02
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 California