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CRYSTAL DENISON/CANNON SUDRC
NPI 1689027203
Counselor - Addiction (Substance Use Disorder) in Bakersfield, CA

Active since July 19, 2016
1010 1/2 S UNION AVE, BAKERSFIELD, CA 93307(661) 321-0234(661) 864-0198 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Denison/cannon Sudrc NPPES

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

CRYSTAL DENISON/CANNON SUDRC (NPI 1689027203) is an individual addiction (substance use disorder) provider in Bakersfield, California, licensed in California (9553) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1689027203
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameCRYSTAL DENISON/CANNONCredential: SUDRC
Location Address1010 1/2 S UNION AVEBakersfield, CA 93307-3642
Mailing Address1400 Easton Dr Ste 151Bakersfield, CA 93309-9406 · (661) 634-9737 · Fax (661) 864-0198
Phone(661) 321-0234
Fax(661) 864-0198
Sole ProprietorNo
Enumeration DateJuly 19, 2016
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1689027203 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 · 9553
1010 1/2 S UNION AVE, Bakersfield, CA 93307
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Other Providers at the Same Location NPPES 20

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

SARAHAN R PADILLA
Counselor (Addiction (Substance Use Disorder))
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234
VANNTHA CHANN
Counselor (Addiction (Substance Use Disorder))
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234
SEAN FINK
Internal Medicine
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234
JODIE L TREES LVN
Counselor (Addiction (Substance Use Disorder))
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234
REBECCA LYNN SANDERS
Community Health Worker
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234
JUGRAJ SINGH PNAG
Licensed Vocational Nurse
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234
STEPHANIE RENEE TACKETT R1447360121
Counselor (Addiction (Substance Use Disorder))
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234
SHAWN GOODE
Counselor (Addiction (Substance Use Disorder))
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307
Kern County (661) 321-0234

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 Crystal Denison/cannon's NPI number?

The NPI number for Crystal Denison/cannon is 1689027203. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Crystal Denison/cannon located?

Crystal Denison/cannon practices at 1010 1/2 S Union Ave, Bakersfield, CA 93307. The listed phone number is (661) 321-0234.

What is Crystal Denison/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 Crystal Denison/cannon was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.