Individual ProviderAmy Pesceone-BrborichMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4662 Katella Ave Ste L, Los Alamitos, CA 90720-2674(562) 489-4046PECOS EnrollmentBased on the most recent information from CMS, provider Amy Pesceone-Brborich 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 ID1538241054Provider TypeIndividualFull NamePesceone-Brborich, AmyCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date10/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4662 Katella Ave Ste L, Los Alamitos, CA 90720-2674Phone(562) 489-4046Fax(562) 594-6817Mailing LocationMailing Address4662 Katella Ave Ste L, Los Alamitos, CA 90720-2674Phone(562) 489-4046Fax(562) 594-6817Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC39739California