Carrie Canales | Santa Monica, CA • PECOS Search

Carrie Canales

Marriage & Family Therapist

Behavioral Health & Social Service Providers

917 Euclid St, Unit 2, Santa Monica, CA 90403-3059

PECOS Enrollment

Based on the most recent information from CMS, provider Carrie Canales does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1124403530
Provider Type
Individual
Full Name
Canales, Carrie
Title
Dr.
Credential
PHD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/27/2015
Last Updated
7/27/2015

Contact Information

Practice Location

917 Euclid St, Unit 2, Santa Monica, CA 90403-3059

Unlisted Fax

Mailing Location

917 Euclid St, Unit 2, Santa Monica, CA 90403-3059

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 85888 California