Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Cannon

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013217132

Stacey Cannon is an Addiction (Substance Use Disorder) Counselor in Long Beach, California. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

2008 Pacific Ave
Long Beach, CA 90806-4610
Phone: (562) 591-0011
Fax: (562) 591-0071
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1013217132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2010
Last updated in NPPESOctober 22, 2010

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