Requisha Champagne Cannon, - Counselor in Watertown, NY

Requisha Champagne Cannon, is a Counselor - Mental Health based in Watertown, New York. Requisha Champagne Cannon is licensed to practice in * (Not Available) (license number ) and her current practice location is 250 Arsenal St Ste 2, Watertown, New York. She can be reached at her office (for appointments etc.) via phone at (315) 782-9030.

NPI number for Requisha Champagne Cannon is 1184482911 and her current mailing address is 1704 State St, Watertown, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184482911.

Contact Information

Requisha Champagne Cannon,
250 Arsenal St Ste 2,
Watertown, NY 13601-2589
(315) 782-9030
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameRequisha Champagne Cannon
GenderFemale
SpecialityCounselor - Mental Health
Location250 Arsenal St Ste 2, Watertown, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184482911
  • Provider Enumeration Date: 03/07/2024
  • Last Update Date: 03/07/2024

Medical Identifiers

Medical identifiers for Requisha Champagne Cannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184482911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Requisha Champagne Cannon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Requisha Champagne Cannon,
1704 State St,
Watertown, NY 13601-3102

Ph: (315) 782-7445
Requisha Champagne Cannon,
250 Arsenal St Ste 2,
Watertown, NY 13601-2589

Ph: (315) 782-9030

Reviews and Comments


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