Individual ProviderMatthew Donald MisuracaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address74133 El Paseo, Suite 11, Palm Desert, CA 92260-4119(760) 708-8253PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Donald Misuraca 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 5 days ago.Profile DetailsProvider ID1417370420Provider TypeIndividualFull NameMisuraca, Matthew DonaldCredentialMA, LMFTGenderMaleSole ProprietorYesEnumeration Date1/27/2014Last Updated7/21/2020Contact InformationPractice LocationPractice Address74133 El Paseo, Suite 11, Palm Desert, CA 92260-4119Phone(760) 708-8253Fax(760) 779-5600Mailing LocationMailing Address74133 El Paseo, Suite 11, Palm Desert, CA 92260-4119Phone(760) 708-8253Fax(760) 779-5600Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC 53014California