Individual ProviderSvetlana Alexandra TheimerMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5625 College Ave, 208, Oakland, CA 94618-1585(510) 845-0548PECOS EnrollmentBased on the most recent information from CMS, provider Svetlana Alexandra Theimer 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 ID1316076474Provider TypeIndividualFull NameTheimer, Svetlana AlexandraCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date3/5/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5625 College Ave, 208, Oakland, CA 94618-1585Phone(510) 845-0548FaxUnlisted FaxMailing LocationMailing Address7048 Westmoorland Dr, Berkeley, CA 94705-1755Phone(510) 845-0548FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC39913California