Deshama Eudeen Lankford | Oakland, CA • PECOS Search

Deshama Eudeen Lankford

Counselor

Behavioral Health & Social Service Providers

3837 Telegraph Ave, Oakland, CA 94609-2419

PECOS Enrollment

Based on the most recent information from CMS, provider Deshama Eudeen Lankford 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
1134858475
Provider Type
Individual
Full Name
Lankford, Deshama Eudeen
Gender
Female

Sole Proprietor
Yes
Enumeration Date
6/9/2022
Last Updated
6/9/2022

Contact Information

Practice Location

3837 Telegraph Ave, Oakland, CA 94609-2419

Unlisted Fax

Mailing Location

PO Box 4217, Hayward, CA 94540-4217

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License 7392 California