MEDICARE: ADRIANA CANALES MS, LPC

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	83854	TX

General Provider Information

NPI Number	:	1932793379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANA CANALES MS, LPC

Provider Business Mailing Address
First Line	:	8600 WURZBACH RD STE 1021
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4333
Country	:	US
Telephone Number	:	210-672-1494
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 WURZBACH RD STE 1021
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-4333
Country	:	US
Telephone Number	:	210-672-1494
Fax Number	:

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

Provider Enumeration Date	:	02/25/2021
Last Update Date	:	02/09/2026

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