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

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone 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

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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.