Individual ProviderGerald J SlaughterCounselorBehavioral Health & Social Service ProvidersPractice Address390 40th St, Oakland, CA 94609-2633(510) 653-5040PECOS EnrollmentBased on the most recent information from CMS, provider Gerald J Slaughter 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 ID1336371103Provider TypeIndividualFull NameSlaughter, Gerald JGenderMaleSole ProprietorNoEnumeration Date8/12/2009Last Updated8/12/2009Contact InformationPractice LocationPractice Address390 40th St, Oakland, CA 94609-2633Phone(510) 653-5040Fax(510) 653-6475Mailing LocationMailing Address390 40th St, Oakland, CA 94609-2633Phone(510) 653-5040Fax(510) 653-6475Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer