Search › California › 175T00000X
Star Cannon, CADC II, ICADC, MATS
NPI 1265508311 · on the registry since 2006
Practice
- Address
- 3637 Mission Ave Bldg B
Carmichael, CA 95608 - Phone
- (916) 485-4175
- Organisation at this address
- Path Logic
Cares Community HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 23
Additional practice sites
- 3628 Madison Ave Ste 7, North Highlands, CA
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 172V00000X
171M00000X
101YA0400X
101YA0400X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California