Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STAR CANNON, CADC II, ICADC, MATS
ActiveSTAR CANNON, CADC II, ICADC, MATS is a Peer Specialist healthcare provider located in CARMICHAEL, California. NPI 1265508311 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · CARMICHAEL, CA
Registration Details
- NPI Number
- 1265508311
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2006 (19.684888388668 yrs)
- Last Updated
- May 23, 2025
Practice Information
- Address
-
3637 MISSION AVE BLDG BCARMICHAEL, CA, 956082946Browse CA providers · Browse ZIP 95608
- Phone
- 9164854175
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Peer Specialist
- Additional Specialty
- Case Manager
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Peer Specialist Providers in CARMICHAEL, CA
| Name | Credential | NPI |
|---|---|---|
| ANNA KAPLAN | — | 1336550482 |
| KELSEY CAROLYN DEAN | — | 1194376855 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.