Suretha Denise Reed | Stockton, CA • PECOS Search

Suretha Denise Reed

Counselor

Behavioral Health & Social Service Providers

1212 N California St, Stockton, CA 95202-1552

PECOS Enrollment

Based on the most recent information from CMS, provider Suretha Denise Reed 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
1447501739
Provider Type
Individual
Full Name
Reed, Suretha Denise
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/26/2012
Last Updated
9/26/2012

Contact Information

Practice Location

1212 N California St, Stockton, CA 95202-1552

Unlisted Fax

Mailing Location

1212 North California Street, Stockton, CA 95202

Unlisted Fax

Provider Taxonomies

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