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STACEY CANNON
NPI 1013217132
Counselor - Addiction (Substance Use Disorder) in Long Beach, CA

Active since October 22, 2010
2008 PACIFIC AVE, LONG BEACH, CA 90806(562) 591-0011(562) 591-0071 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY CANNON (NPI 1013217132) is an individual addiction (substance use disorder) provider in Long Beach, California and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1013217132
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSTACEY CANNON
Location Address2008 PACIFIC AVELong Beach, CA 90806-4610
Mailing Address2008 Pacific AveLong Beach, CA 90806-4610 · (562) 591-0011 · Fax (562) 591-0071
Phone(562) 591-0011
Fax(562) 591-0071
Sole ProprietorNo
Enumeration DateOctober 22, 2010
✔ NPI 1013217132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2008 PACIFIC AVE, Long Beach, CA 90806
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. WILLIE DANIEL DUCKSWORTH
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
STANFORD JACKSON CATCII
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
WEST COAST COUNSELING SERVICES, INC
Public Health or Welfare
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 424-6531
LEONARD WILLIAM OLIVAS
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
GEORGINA PATRICIA ALVAREZ MEDICAL ASSISTANT
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
MS. JUANITA ANTIPORDA
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
DAVID WAYNE TALBOTT
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011
ROSA MORENO
Counselor (Addiction (Substance Use Disorder))
2008 PACIFIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 591-0011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Cannon's NPI number?

The NPI number for Stacey Cannon is 1013217132. It was assigned to this individual provider in the NPPES registry on October 22, 2010.

Where is Stacey Cannon located?

Stacey Cannon practices at 2008 Pacific Ave, Long Beach, CA 90806. The listed phone number is (562) 591-0011.

What is Stacey Cannon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacey Cannon was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.