Individual ProviderMayra Liliana CarriedoCounselorBehavioral Health & Social Service ProvidersPractice Address1212 N California St, Stockton, CA 95202(209) 468-8661PECOS EnrollmentBased on the most recent information from CMS, provider Mayra Liliana Carriedo 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 yesterday at 12:57 PM.Profile DetailsProvider ID1215450929Provider TypeIndividualFull NameCarriedo, Mayra LilianaGenderFemaleSole ProprietorNoEnumeration Date7/25/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address1212 N California St, Stockton, CA 95202Phone(209) 468-8661FaxUnlisted FaxMailing LocationMailing Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8661FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer