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Calleen Cannon Counseling LLC

Company Details

Name: Calleen Cannon Counseling LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Jan 2025 (5 months ago)
Financial Date End: 31 Jan 2026
Entity Number: 6057313
Place of Formation: IDAHO
File Number: 971626
ZIP code: 83204
County: Power County
Principal Address: CALLEEN CANNON COUNSELING 845 W CENTER ST POCATELLO, ID 83204
Mailing Address: CALLEEN CANNON COUNSELING 845 W CENTER ST POCATELLO, ID 83204-4205

Agent

Name Role Address
Calleen A Cannon Agent 845 W CENTER ST, POCATELLO, ID 83204

National Provider Identifier

NPI Number:
1588462105
Certification Date:
2025-03-07

Authorized Person:

Name:
CALLEEN ANN CANNON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2082135765

Filing

Filing Name Filing Number Filing date
Initial Filing 0006057313 2025-01-08

Date of last update: 23 May 2025

Sources: Idaho Secretary of State