Cannon, Star

Cannon, Star is an individual health care provider with primary practice located at 3637 Mission Ave Bldg B , Carmichael CA 95608-2946. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Cannon, Star can be contacted via phone (916) 485-4175.

Contact Information

Primary practice address
3637 Mission Ave Bldg B Carmichael CA 95608-2946
Phone: (916) 485-4175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X California

Profile Details

NPI number 1265508311
LBN Legal business name Cannon, Star
Credentials CADC II, ICADC, MATS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Nov 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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