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Ms. Jade T Fishburn
Counselor in Canton, Ohio
NPI 1124440607

Jade T Fishburn is a Counselor based in Canton, OH. Jade T Fishburn practices in Canton, OH. The NPI Number for Jade T Fishburn is 1124440607 and holds a License No. LCDCII.161524 (Ohio).

The current practice location address for Jade T Fishburn is 624 Market Ave N, Canton, OH and can be reached out via phone at 330-493-4553 and via fax at 330-493-3761.

Location: 624 Market Ave N, Canton, OH, 44702-1017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124440607
Provider Name
Jade T Fishburn
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 Market Ave N, Canton, OH, 44702-1017
Phone Number
330-493-4553
Fax Number
330-493-3761
Provider Enumeration Date
01/17/2014
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
624 Market Ave N
City
Canton
State
Ohio
Zip
44702-1017
Phone Number
330-493-4553
Fax Number
330-493-3761
person
Provider Business Mailing Address Details
Address
624 Market Ave N
City
Canton
State
Ohio
Zip
44702-1017
Phone Number
330-493-4553
Fax Number
330-493-3761
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C2406388 (Ohio)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LCDCII.161524 (Ohio)
Definition
Definition to come...
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