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Bruce A Cannon
Mental Health Counselor in Plymouth, Michigan
NPI 1982305009

Bruce A Cannon is a Mental Health Counselor based in Canton, MI and is specialized in Mental Health. Bruce A Cannon practices in Plymouth, MI. The NPI Number for Bruce A Cannon is 1982305009 and holds a License No. 6451022372 (Michigan).

The current practice location address for Bruce A Cannon is 496 W Ann Arbor Trl Ste 106, Plymouth, MI and can be reached out via phone at 734-335-8799.

Location: 496 W Ann Arbor Trl Ste 106, Plymouth, MI, 48187-2626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982305009
Provider Name
Bruce A Cannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
496 W Ann Arbor Trl Ste 106, Plymouth, MI, 48187-2626
Phone Number
734-335-8799
Fax Number
Provider Enumeration Date
03/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
496 W Ann Arbor Trl Ste 106
City
Plymouth
State
Michigan
Zip
48170-6262
Phone Number
734-335-8799
Fax Number
person
Provider Business Mailing Address Details
Address
496 W Ann Arbor Trl Ste 106
City
Plymouth
State
Michigan
Zip
48170-6262
Phone Number
734-335-8799
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6451022372 (Michigan)
Definition
Definition to come...
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