Crystal Denison/Cannon, SUDRC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9553 Issued in CA

Practice address

1010 1/2 S Union Ave
Bakersfield, CA 93307-3642

Phone

(661) 321-0234

Fax

(661) 864-0198

NPI assigned

Jul 19, 2016

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1689027203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EASTON DR STE 151",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933099406",
            "telephone_number": "661-634-9737",
            "fax_number": "661-864-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 1/2 S UNION AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933073642",
            "telephone_number": "661-321-0234",
            "fax_number": "661-864-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENISON/CANNON",
        "first_name": "CRYSTAL",
        "credential": "SUDRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "9553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Denaro, M.D.
• Tiffany Haro Deneau, LCSW
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• Denice Starley, DO, a Professional Corporation
• Deborah Ann Denio-Ipekjian, MPT,DPT,MTC
• Isaac Allen Dennis
• Jordan Dennis, MS, RD, CSP
• Dental Depot
• Dental Hygiene Practice of Kandyce Fillmore Rdhap PC
• Dental Specialty Care

• Addiction (Substance Use Disorder) Counselor in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.