STAR CANNON, CADC II, ICADC, MATS
Peer Specialist
Active
Individual
NPI: 1265508311
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | No | - |
| Peer Specialist | 175T00000X | Yes | - |
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | - |
Frequently Asked Questions
NPI 1265508311 is the National Provider Identifier for STAR CANNON, CADC II, ICADC, MATS, a Peer Specialist provider located in Carmichael, CA. This NPI was enumerated on November 28, 2006.
STAR CANNON, CADC II, ICADC, MATS practices at 3637 MISSION AVE BLDG B, Carmichael, CA 95608.
Quick Facts
- NPI
- 1265508311
- Type
- Individual
- Enumerated
- Nov 28, 2006
- Last Updated
- May 23, 2025
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