Individual ProviderTristana Nicole CaseyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address9029 Park Plaza Drive, #101, La Mesa, CA 91942(619) 697-0476PECOS EnrollmentBased on the most recent information from CMS, provider Tristana Nicole Casey 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 ID1265566996Provider TypeIndividualFull NameCasey, Tristana NicoleTitleMrs.CredentialMFT MFC 44348GenderFemaleSole ProprietorNoEnumeration Date3/15/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address9029 Park Plaza Drive, #101, La Mesa, CA 91942Phone(619) 697-0476Fax(619) 697-0505Mailing LocationMailing Address9029 Park Plaza Drive, #101, La Mesa, CA 91942Phone(619) 697-0476Fax(619) 697-0505Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC 44348CaliforniaProvider IdentifiersIDDescriptionIssuerIDMFC 44348DescriptionOtherIssuerBBSCalifornia