Individual ProviderJoan BrunoMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4990 Williams Ave, La Mesa, CA 91942-7409(619) 668-4200PECOS EnrollmentBased on the most recent information from CMS, provider Joan Bruno 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 ID1013685346Provider TypeIndividualFull NameBruno, JoanGenderFemaleSole ProprietorNoEnumeration Date9/1/2021Last Updated10/3/2022Contact InformationPractice LocationPractice Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4200Fax(619) 698-1665Mailing LocationMailing Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense122448California