Fishburn, Jade T

Fishburn, Jade T is an individual health care provider with primary practice located at 624 Market Ave N , Canton OH 44702-1017. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Fishburn, Jade T can be contacted via phone (330) 493-4553.

Contact Information

Primary practice address
624 Market Ave N Canton OH 44702-1017
Phone: (330) 493-4553
Fax: (330) 493-3761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCII.161524 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X C2406388 Ohio

Profile Details

NPI number 1124440607
LBN Legal business name Fishburn, Jade T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2014
Last updated Dec 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers