Renee Elise Eb-Walton | Oakland, CA • PECOS Search

Renee Elise Eb-Walton

Counselor

Behavioral Health & Social Service Providers

3837 Telegraph Ave, Oakland, CA 94609-2419

(510) 450-1192 (510) 712-8788

PECOS Enrollment

Based on the most recent information from CMS, provider Renee Elise Eb-Walton 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 3 days ago.

Profile Details

Provider ID
1083958359
Provider Type
Individual
Full Name
Eb-Walton, Renee Elise
Gender
Female

Sole Proprietor
Yes
Enumeration Date
11/26/2012
Last Updated
10/19/2019

Contact Information

Practice Location

3837 Telegraph Ave, Oakland, CA 94609-2419

Unlisted Fax

Mailing Location

2595 Depot Rd, Hayward, CA 94545-2341

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer