MEDICARE: MS. GLORIA ARENSON MFT

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	106H00000X	Marriage & Family Therapist	MFC15071	CA

General Provider Information

NPI Number	:	1134115140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GLORIA ARENSON MFT

Provider Business Mailing Address
First Line	:	1429 LAS POSITAS PL
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4525
Country	:	US
Telephone Number	:	805-563-1140
Fax Number	:	805-563-1140

Provider Business Practice Location Address
First Line	:	1429 LAS POSITAS PL
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4525
Country	:	US
Telephone Number	:	805-563-1140
Fax Number	:	805-563-1140

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

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	07/08/2007

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