MICHAEL GLENN ANNIS
NPI 1649012402
Counselor - Addiction (Substance Use Disorder) in Roseville, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since June 11, 2024

406 SUNRISE AVE STE 100, ROSEVILLE, CA 95661(916) 782-3737 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Michael Glenn Annis NPPES

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

MICHAEL GLENN ANNIS (NPI 1649012402) is an individual addiction (substance use disorder) provider in Roseville, California, licensed in California (18080) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1649012402

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMICHAEL GLENN ANNIS

Location Address406 SUNRISE AVE STE 100Roseville, CA 95661-4106

Mailing Address406 Sunrise Ave Ste 105Roseville, CA 95661-4145

Phone(916) 782-3737

Sole ProprietorYes

Enumeration DateJune 11, 2024

NPPES CertifiedJune 11, 2024

✔ NPI 1649012402 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

License✔ Licensed in CA · 18080

406 SUNRISE AVE STE 100, Roseville, CA 95661

Open in Google Maps ↗

Other Providers at the Same Location NPPES 13

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

GRANITE WELLNESS CENTERS

Community/Behavioral Health