CHARLES BRUCE CANNON

COLUMBIA, SC
NPI1235229956
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  0271)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
-- CHARLES BRUCE CANNON M.Ed., LPC
2715 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-898-8888
Mailing Address
-- CHARLES BRUCE CANNON M.Ed., LPC
3004 EXMOOR RD
COLUMBIA, SC 29204-7712
Phone number: 803-787-5763