Kim Christina Venezia | Oakland, CA • PECOS Search

Kim Christina Venezia

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5236 Claremont Ave, Oakland, CA 94618-1033

(510) 347-2300 (510) 569-3261

PECOS Enrollment

Based on the most recent information from CMS, provider Kim Christina Venezia 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 34 days ago.

Profile Details

Provider ID
1144420373
Provider Type
Individual
Full Name
Venezia, Kim Christina
Title
Ms.
Credential
MFTI

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/25/2007
Last Updated
7/25/2007

Contact Information

Practice Location

5236 Claremont Ave, Oakland, CA 94618-1033

(510) 428-2028

Mailing Location

6818 Sunnymere Ave, Oakland, CA 94605-2614

(510) 569-3631

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 46491 California