Individual provider · Type 1 NPI
Star Cannon, CADC II, ICADC, MATS
Peer Specialist · Carmichael, CA
NPI number
1265508311
Active
Practice location
3637 Mission Ave Bldg B
Carmichael, CA 95608-2946
Mailing address
1329 Howe Ave Ste 201
Sacramento, CA 95825-3363
Other practice locations
- 3628 Madison Ave Ste 7, North Highlands, CA 95660-5070 · (916) 388-3231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | None listed |
| Peer Specialist Primary | 175T00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
7 other providers at this address
- Adrian CamachoCase Manager/Care Coordinator Carmichael, CA NPI 1417599622
- Alexandra CurtisCounselor Carmichael, CA NPI 1245886373
- Carole L. Tillman, MS, LAADC-CACounselor Carmichael, CA NPI 1740585041
- Charles Hugh McLellanAddiction (Substance Use Disorder) Counselor Carmichael, CA NPI 1619156601
- Eliego LopezCommunity Health Worker Carmichael, CA NPI 1699801258
- Janet Diane SegallCase Manager/Care Coordinator Carmichael, CA NPI 1790308294
- Marisol NavarroCase Manager/Care Coordinator Carmichael, CA NPI 1568911287
Other peer specialist providers in Carmichael
About NPI 1265508311
Star Cannon, CADC II, ICADC, MATS's National Provider Identifier is 1265508311, issued on Nov 28, 2006. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Carmichael, CA. The record was last updated on May 23, 2025.