Provider Demographics
NPI:1063946614
Name:CANNATA, ANNA (LMHCA CANDIDATE)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:CANNATA
Suffix:
Gender:F
Credentials:LMHCA CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9711 223RD ST SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-7168
Mailing Address - Country:US
Mailing Address - Phone:425-326-5352
Mailing Address - Fax:
Practice Address - Street 1:9711 223RD ST SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-7168
Practice Address - Country:US
Practice Address - Phone:425-326-5352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor