Individual ProviderTheresa Mary ComitoMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5480 Baltimore Dr Ste 201, La Mesa, CA 91942(619) 259-4983PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Mary Comito 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 ID1538439120Provider TypeIndividualFull NameComito, Theresa MaryTitleMs.CredentialMFTGenderFemaleSole ProprietorYesEnumeration Date1/12/2012Last Updated7/25/2018Contact InformationPractice LocationPractice Address5480 Baltimore Dr Ste 201, La Mesa, CA 91942Phone(619) 259-4983Fax(888) 978-2712Mailing LocationMailing Address5480 Baltimore Dr Ste 201, La Mesa, CA 91942-2015Phone(619) 259-4983Fax(888) 978-2712Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense40358California