Individual ProviderJacquiline MaiMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address11278 Los Alamitos Blvd Unit 865, Los Alamitos, CA 90720-3958(714) 594-9725PECOS EnrollmentBased on the most recent information from CMS, provider Jacquiline Mai 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 9:43 AM.Profile DetailsProvider ID1275358277Provider TypeIndividualFull NameMai, JacquilineGenderFemaleSole ProprietorYesEnumeration Date11/15/2024Last Updated11/15/2024Contact InformationPractice LocationPractice Address11278 Los Alamitos Blvd Unit 865, Los Alamitos, CA 90720-3958Phone(714) 594-9725FaxUnlisted FaxMailing LocationMailing Address11278 Los Alamitos Blvd Unit 865, Los Alamitos, CA 90720-3958Phone(714) 594-9725FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense113212California