Individual ProviderJesse M TriceMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5122 Katella Ave, Suite 305, Los Alamitos, CA 90720-2826(562) 596-2142PECOS EnrollmentBased on the most recent information from CMS, provider Jesse M Trice 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 yesterday at 9:43 AM.Profile DetailsProvider ID1427170802Provider TypeIndividualFull NameTrice, Jesse MCredentialMFTGenderMaleSole ProprietorYesEnumeration Date4/4/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5122 Katella Ave, Suite 305, Los Alamitos, CA 90720-2826Phone(562) 596-2142Fax(562) 799-6657Mailing LocationMailing Address5122 Katella Ave, Suite 305, Los Alamitos, CA 90720-2826Phone(562) 596-2142Fax(562) 799-6657Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense33321California