Individual ProviderJennifer EdlinMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address6075 Manchester Dr, Oakland, CA 94618-1832(510) 239-3932PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Edlin 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 34 days ago.Profile DetailsProvider ID1083484810Provider TypeIndividualFull NameEdlin, JenniferTitleMs.CredentialMFTGenderFemaleSole ProprietorYesEnumeration Date1/3/2024Last Updated1/3/2024Contact InformationPractice LocationPractice Address6075 Manchester Dr, Oakland, CA 94618-1832Phone(510) 239-3932FaxUnlisted FaxMailing LocationMailing Address6075 Manchester Dr, Oakland, CA 94618-1832Phone(510) 239-3932FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense50731California