Individual
MRS. REGINA GALE CANSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1010 W JASPER DR, SUITE 9, KILLEEN, TX 76542-1331
(254) 519-1144
(254) 519-1155
Mailing address
114 TALAVERA PKWY, APT. 1017, SAN ANTONIO, TX 78232-1055
(254) 519-1144
(254) 519-1155
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201391
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A3512
MEDICARE GROUP NUMBER
TX
Enumeration date
10/12/2010
Last updated
10/12/2010
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