Individual ProviderStephen PolinMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5845 College Ave, Oakland, CA 94618-1635(510) 654-5109PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Polin 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 ID1174840797Provider TypeIndividualFull NamePolin, StephenCredentialMFTGenderMaleSole ProprietorYesEnumeration Date4/21/2010Last Updated4/22/2010Contact InformationPractice LocationPractice Address5845 College Ave, Oakland, CA 94618-1635Phone(510) 654-5109Fax(510) 654-5109Mailing LocationMailing Address5845 College Ave, Oakland, CA 94618-1635Phone(510) 654-5109Fax(510) 654-5109Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMY 7861California