Individual ProviderPatricia Jean SmithCounselorBehavioral Health & Social Service ProvidersPractice Address3408 Andover St, Oakland, CA 94609-2817(510) 547-1531PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Jean Smith 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 3 days ago.Profile DetailsProvider ID1497358832Provider TypeIndividualFull NameSmith, Patricia JeanGenderFemaleSole ProprietorYesEnumeration Date11/18/2020Last Updated11/18/2020Contact InformationPractice LocationPractice Address3408 Andover St, Oakland, CA 94609-2817Phone(510) 547-1531Fax(510) 547-1543Mailing LocationMailing Address3408 Andover St, Oakland, CA 94609-2817Phone(510) 547-1531Fax(510) 547-1543Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer