BRUCE A CANNON

PLYMOUTH, MI
NPI1982305009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MI  6451022372)
Enumeration Date2023-03-15
Last Update Date2023-05-02
Business Address
BRUCE A CANNON
496 W ANN ARBOR TRL STE 106
PLYMOUTH, MI 48170-6262
Phone number: 734-335-8799
Mailing Address
BRUCE A CANNON
6193 PORTERIDGE LN
CANTON, MI 48187-2626
Phone number: 734-604-3454