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NPI Code Detail

MEDICARE: MICHAEL CANTON MED,LPCC,LCMHC

MEDICARE: MICHAEL CANTON MED,LPCC,LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE.1901093OH
2101YM0800XMental Health Counselor19873NC

General Provider Information

NPI Number : 1164950473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL CANTON MED,LPCC,LCMHC
Provider Business Mailing Address
First Line : 29 N MARKET ST STE 300
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-2924
Country : US
Telephone Number : 310-663-9517
Fax Number : 828-579-2757
Provider Business Practice Location Address
First Line : 29 N MARKET ST STE 300
Second Line :
City : ASHEVILLE
State : NC
Zip : 28801-2924
Country : US
Telephone Number : 310-663-9517
Fax Number : 828-579-2757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 04/22/2025

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Directions to “ MICHAEL CANTON MED,LPCC,LCMHC” Practice Location

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