Star Cannon, CADC II, ICADC, MATS
NPI #1265508311 in Carmichael, California
Provider Information
- NPI Number
- 1265508311
- Entity Type
- Individual
- Name
- Star Cannon, CADC II, ICADC, MATS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Credential
- CADC II, ICADC, MATS
- Enumeration Date
- Nov 28, 2006
- Last Updated
- May 23, 2025
Practice Location
- Address
- 3637 MISSION AVE BLDG B
- City
- Carmichael
- State
- California
- ZIP Code
- 95608-2946
- Phone
- (916) 485-4175
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Peer Specialist |
| Case Manager/Care Coordinator |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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