Individual ProviderDiana GleghornMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5625 College Ave Ste 215, Oakland, CA 94618-1585(415) 271-5767PECOS EnrollmentBased on the most recent information from CMS, provider Diana Gleghorn 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 ID1245738129Provider TypeIndividualFull NameGleghorn, DianaCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date1/25/2018Last Updated1/25/2018Contact InformationPractice LocationPractice Address5625 College Ave Ste 215, Oakland, CA 94618-1585Phone(415) 271-5767FaxUnlisted FaxMailing LocationMailing Address5625 College Ave Ste 215, Oakland, CA 94618-1585Phone(415) 271-5767FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseLMFT28637California