Carlton Patrick Mascarella | Victorville, CA • PECOS Search

Carlton Patrick Mascarella

Marriage & Family Therapist

Behavioral Health & Social Service Providers

14360 Saint Andrews Dr, Suite 11, Victorville, CA 92395-4358

PECOS Enrollment

Based on the most recent information from CMS, provider Carlton Patrick Mascarella 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 2 days ago.

Profile Details

Provider ID
1194984484
Provider Type
Individual
Full Name
Mascarella, Carlton Patrick
Title
Mr.
Credential
MA

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/3/2008
Last Updated
10/22/2014

Contact Information

Practice Location

14360 Saint Andrews Dr, Suite 11, Victorville, CA 92395-4358

(760) 513-4696

Mailing Location

14360 Saint Andrews Dr, Suite 11, Victorville, CA 92395-4358

(760) 513-4696

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC 29791 California