Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Requisha Champagne Cannon

Individual provider Mental Health Counselor · NPI 1184482911

Requisha Champagne Cannon is a Mental Health Counselor in Watertown, New York. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

250 Arsenal St Ste 2
Watertown, NY 13601-2589
Phone: (315) 782-9030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 211 Jb Wise Pl, Watertown, NY 13601-2507 — (315) 782-7445

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1184482911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 7, 2024
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

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