Candis Michelle Bourne

Counselor · Canton, OH

Individual Active NPI

NPI number 1245738152

Practice location

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone
(330) 455-0374
Fax
(330) 455-2101

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NPI record

NPI
1245738152
Entity type
Individual (Type 1)
Enumeration date
January 25, 2018
Last updated
January 25, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X C.1800817-TRNE OH

About Candis Bourne

Candis Michelle Bourne is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 625 Cleveland Ave NW, Canton, OH 44702-1805. The NPI number 1245738152 was assigned on January 25, 2018 and the record was last updated on January 25, 2018.

Candis Bourne lists a license in the registry: #C.1800817-TRNE (OH) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Candis Michelle Bourne?

The NPI number is 1245738152.

What is the phone number of Candis Bourne?

The phone number listed for the practice location is (330) 455-0374.

Where is Candis Bourne located?

625 Cleveland Ave NW, Canton, OH 44702-1805.

What is the taxonomy code for Candis Bourne?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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