Individual provider · Type 1 NPI

Charles Bruce Cannon, M.ED., LPC

Mental Health Counselor · Columbia, SC

NPI number 1235229956 Active

Practice location

2715 Colonial Dr
Columbia, SC 29203-6818

Call (803) 898-8888 Map

Mailing address

3004 Exmoor Rd
Columbia, SC 29204-7712

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0271 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1235229956

Charles Bruce Cannon, M.ED., LPC's National Provider Identifier is 1235229956, issued on Oct 13, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Jul 8, 2007.