Individual provider · Type 1 NPI

Michael Glenn Annis

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1649012402 Active

Practice location

406 Sunrise Ave Ste 100
Roseville, CA 95661-4106

Call (916) 782-3737 Map

Mailing address

406 Sunrise Ave Ste 105
Roseville, CA 95661-4145

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X18080 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1649012402

Michael Glenn Annis's National Provider Identifier is 1649012402, issued on Jun 11, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Jun 11, 2024.