REQUISHA CHAMPAGNE CANNON
NPI 1184482911
Counselor - Mental Health in Watertown, NY

Q: What is Requisha Cannon's NPI number?

The NPI number for Requisha Cannon is 1184482911. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Q: What is Requisha Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Requisha Cannon was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2024

250 ARSENAL ST STE 2, WATERTOWN, NY 13601(315) 782-9030 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Requisha Champagne Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REQUISHA CHAMPAGNE CANNON (NPI 1184482911) is an individual mental health provider in Watertown, New York and active in the NPI registry since March 2024. She maintains a secondary practice location in Watertown.

NPPES Registry Identity

NPI1184482911

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameREQUISHA CHAMPAGNE CANNON

Location Address250 ARSENAL ST STE 2Watertown, NY 13601-2589

Mailing Address1704 State StWatertown, NY 13601-3102 · (315) 782-7445

Phone(315) 782-9030

Sole ProprietorNo

Enumeration DateMarch 7, 2024

NPPES CertifiedMarch 7, 2024

✔ NPI 1184482911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

250 ARSENAL ST STE 2, Watertown, NY 13601

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Secondary Practice Location 1

Location 1211 Jb Wise PlWatertown, NY 13601-2507 · Phone (315) 782-7445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Requisha Cannon's NPI number?

The NPI number for Requisha Cannon is 1184482911. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Requisha Cannon located?

Requisha Cannon practices at 250 Arsenal St Ste 2, Watertown, NY 13601. The listed phone number is (315) 782-9030.

What is Requisha Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Requisha Cannon was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.