Marielena Leon | Stockton, CA • PECOS Search

Marielena Leon

Counselor

Behavioral Health & Social Service Providers

1201 N El Dorado St, Stockton, CA 95202-1306

PECOS Enrollment

Based on the most recent information from CMS, provider Marielena Leon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1346470085
Provider Type
Individual
Full Name
Leon, Marielena
Title
Ms.

Gender
Female
Sole Proprietor
No
Enumeration Date
7/15/2009
Last Updated
7/15/2009

Contact Information

Practice Location

1201 N El Dorado St, Stockton, CA 95202-1306

Unlisted Fax

Mailing Location

1201 N El Dorado St, Stockton, CA 95202-1306

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer