Larissa Mccain | Victorville, CA • PECOS Search

Larissa Mccain

Marriage & Family Therapist

Behavioral Health & Social Service Providers

14075 Hesperia Rd Ste 101, Victorville, CA 92395-4500

(760) 810-0000 (808) 692-7714

PECOS Enrollment

Based on the most recent information from CMS, provider Larissa Mccain 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 2 days ago.

Profile Details

Provider ID
1548667801
Provider Type
Individual
Full Name
Mccain, Larissa
Credential
LMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
12/1/2014
Last Updated
7/27/2022

Contact Information

Practice Location

14075 Hesperia Rd Ste 101, Victorville, CA 92395-4500

(760) 810-0176

Mailing Location

1035 Crespi Dr, Pacifica, CA 94044-3512

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFT 409 Hawaii