MEDICARE: ALENA JOYCE CANSLER MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1316103682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALENA JOYCE CANSLER MSW

Provider Business Mailing Address
First Line	:	5638 HOLLISTER AVE
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-3474
Country	:	US
Telephone Number	:	805-922-2243
Fax Number	:	805-692-0782

Provider Business Practice Location Address
First Line	:	5638 HOLLISTER AVE
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-3474
Country	:	US
Telephone Number	:	805-922-2243
Fax Number	:	805-692-0782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	11/17/2014

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