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Organization
MICHELLE GASPER PROFESSIONAL CLINICAL COUNSELOR CANVAS COUNSELING CENT
Active
Organization
MICHELLE GASPER PROFESSIONAL CLINICAL COUNSELOR CANVAS COUNSELING CENT
Active
Other names
Canvas Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE J GASPER LMFT LPCC (CEO, THERAPIST)
(909) 240-0419
Entity
Organization
Contact information
Practice address
4091 RIVERSIDE DR STE 103, CHINO, CA 91710-3195
(909) 654-8079
(909) 774-0142
Mailing address
4091 RIVERSIDE DR STE 103, CHINO, CA 91710-3195
(909) 654-8079
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
05/11/2023
Last updated
01/23/2025
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