Provider Demographics
NPI:1144753278
Name:CANNON, BRITNI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRITNI
Middle Name:
Last Name:CANNON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRITNI
Other - Middle Name:JA'NAE
Other - Last Name:PEARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5800 PEBBLE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-0106
Mailing Address - Country:US
Mailing Address - Phone:972-948-6164
Mailing Address - Fax:
Practice Address - Street 1:5800 PEBBLE RIDGE DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-0106
Practice Address - Country:US
Practice Address - Phone:972-948-6164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional