Provider Demographics
NPI:1164950473
Name:CANTON, MICHAEL (MED,LPCC,LCMHC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:CANTON
Suffix:
Gender:M
Credentials:MED,LPCC,LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 N MARKET ST STE 300
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2924
Mailing Address - Country:US
Mailing Address - Phone:310-663-9517
Mailing Address - Fax:828-579-2757
Practice Address - Street 1:29 N MARKET ST STE 300
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2924
Practice Address - Country:US
Practice Address - Phone:310-663-9517
Practice Address - Fax:828-579-2757
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-31
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1901093101YP2500X
NC19873101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional