Individual ProviderLily JaserMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address6239 College Ave, Oakland, CA 94618-1329(510) 984-1883PECOS EnrollmentBased on the most recent information from CMS, provider Lily Jaser 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 ID1356897425Provider TypeIndividualFull NameJaser, LilyTitleMs.CredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date8/29/2016Last Updated2/24/2025Contact InformationPractice LocationPractice Address6239 College Ave, Oakland, CA 94618-1329Phone(510) 984-1883FaxUnlisted FaxMailing LocationMailing Address6239 College Ave Ste 303, Oakland, CA 94618-1384Phone(510) 984-1883FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense121769CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia