Individual
CHARLES THOMAS CANSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12 CASA VERDE, LAKEWAY, TX 78734-3412
(512) 627-8611
Mailing address
12 CASA VERDE, LAKEWAY, TX 78734-3412
(512) 627-8611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095371301
—
TX
Enumeration date
05/29/2008
Last updated
05/29/2008
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