Individual ProviderJeanette CamachoCounselorBehavioral Health & Social Service ProvidersPractice Address3845 Telegraph Ave, Oakland, CA 94609-2419(510) 450-1190PECOS EnrollmentBased on the most recent information from CMS, provider Jeanette Camacho 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 3 days ago.Profile DetailsProvider ID1194524140Provider TypeIndividualFull NameCamacho, JeanetteGenderFemaleSole ProprietorNoEnumeration Date3/12/2025Last Updated3/28/2025Contact InformationPractice LocationPractice Address3845 Telegraph Ave, Oakland, CA 94609-2419Phone(510) 450-1190FaxUnlisted FaxMailing LocationMailing Address3845 Telegraph Ave, Oakland, CA 94609-2419Phone(510) 450-1190FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer