| NPI | 1891485868 |
|---|---|
| Doing Business As | CANVAS COUNSELING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE J GASPER CEO, Therapist 909-240-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |