CHARLES BRUCE CANNON M.ED. LPC NPI 1235229956

NPI Information

NPI: 1235229956
Provider Name: CHARLES BRUCE CANNON, M.ED., LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2715 COLONIAL DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 898-8888
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Charles Bruce Cannon, M.ED., LPC is a mental health counselor in Columbia, SC. Charles Bruce Cannon, M.ED., LPC NPI is 1235229956. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2715 COLONIAL DR
COLUMBIA, SC
ZIP 29203-818
Phone: (803) 898-8888

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0271	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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