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

Star Cannon, CADCII, ICADC, MATS

Individual provider Community Health Worker · NPI 1265508311

Star Cannon, CADCII, ICADC, MATS is a Community Health Worker in Carmichael, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2006
Specialties on file
5

Practice location Address checks out

3637 Mission Ave Bldg B
Carmichael, CA 95608-2946
Phone: (916) 485-4175
Show map & directions

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

Additional practice locations (1)

  • 3628 Madison Ave Ste 7, North Highlands, CA 95660-5070 — (916) 388-3231

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Community Health Worker Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X (CA)

Record details

NPI number1265508311
Entity typeIndividual (Type 1)
GenderFemale
Credentials CADCII , ICADC , MATS
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025

Other providers in Carmichael