Individual ProviderThuy-Linh PhamMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5480 Baltimore Dr Ste 106&250, La Mesa, CA 91942-2020(669) 234-6386PECOS EnrollmentBased on the most recent information from CMS, provider Thuy-Linh Pham 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 ID1255786208Provider TypeIndividualFull NamePham, Thuy-LinhGenderFemaleSole ProprietorNoEnumeration Date4/27/2016Last Updated2/6/2020Contact InformationPractice LocationPractice Address5480 Baltimore Dr Ste 106&250, La Mesa, CA 91942-2020Phone(669) 234-6386FaxUnlisted FaxMailing LocationMailing Address5480 Baltimore Dr Ste 106&250, La Mesa, CA 91942-2020PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense114805California