Individual provider · Type 1 NPI

Jade T. Fishburn

Counselor · Canton, OH

NPI number 1124440607 Active

Practice location

624 Market Ave N
Canton, OH 44702-1017

Call (330) 493-4553 Map

Fax (330) 493-3761

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCII.161524 (OH)
Counselor Primary 101Y00000XC2406388 (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1124440607

Jade T. Fishburn's National Provider Identifier is 1124440607, issued on Jan 17, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Canton, OH. The record was last updated on Dec 9, 2024.