Eddie Mae Robinson | Stockton, CA • PECOS Search

Eddie Mae Robinson

Counselor

Behavioral Health & Social Service Providers

1201 N El Dorado St, Stockton, CA 95202-1306

(209) 468-3760 (209) 468-8700

PECOS Enrollment

Based on the most recent information from CMS, provider Eddie Mae Robinson 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1215347042
Provider Type
Individual
Full Name
Robinson, Eddie Mae
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/1/2014
Last Updated
5/8/2014

Contact Information

Practice Location

1201 N El Dorado St, Stockton, CA 95202-1306

Unlisted Fax

Mailing Location

1212 N California St, Stockton, CA 95202-1552

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer