Individual ProviderMark GuynnMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address8058 La Mesa Blvd, La Mesa, CA 91942-0335(619) 463-9742PECOS EnrollmentBased on the most recent information from CMS, provider Mark Guynn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1003142266Provider TypeIndividualFull NameGuynn, MarkTitleMr.CredentialM.F.T.GenderMaleSole ProprietorYesEnumeration Date10/22/2009Last Updated10/22/2009Contact InformationPractice LocationPractice Address8058 La Mesa Blvd, La Mesa, CA 91942-0335Phone(619) 463-9742Fax(619) 460-3707Mailing LocationMailing Address8058 La Mesa Blvd, La Mesa, CA 91942-0335Phone(619) 463-9742Fax(619) 460-3707Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense45713California