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Candis Michelle Bourne
Counselor in Canton, Ohio
NPI 1245738152

Candis Michelle Bourne is a Counselor based in Canton, OH. Candis Michelle Bourne practices in Canton, OH. The NPI Number for Candis Michelle Bourne is 1245738152 and holds a License No. C.1800817-TRNE (Ohio).

The current practice location address for Candis Michelle Bourne is 625 Cleveland Ave Nw, Canton, OH and can be reached out via phone at 330-455-0374 and via fax at 330-455-2101.

Location: 625 Cleveland Ave Nw, Canton, OH, 44702-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245738152
Provider Name
Candis Michelle Bourne
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 Cleveland Ave Nw, Canton, OH, 44702-1805
Phone Number
330-455-0374
Fax Number
330-455-2101
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Cleveland Ave Nw
City
Canton
State
Ohio
Zip
44702-1805
Phone Number
330-455-0374
Fax Number
330-455-2101
person
Provider Business Mailing Address Details
Address
625 Cleveland Ave Nw
City
Canton
State
Ohio
Zip
44702-1805
Phone Number
330-455-0374
Fax Number
330-455-2101
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
C.1800817-TRNE (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.
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