Individual ProviderMichele Nelson-ChungMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3801 Katella Ave Ste 330, Los Alamitos, CA 90720-6900(562) 740-5303(562) 743-1670PECOS EnrollmentBased on the most recent information from CMS, provider Michele Nelson-Chung is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1548704612Provider TypeIndividualFull NameNelson-Chung, MicheleCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date12/8/2016Last Updated11/7/2023Contact InformationPractice LocationPractice Address3801 Katella Ave Ste 330, Los Alamitos, CA 90720-6900Phone(562) 740-5303FaxUnlisted FaxMailing LocationMailing AddressPO Box 1075, Los Alamitos, CA 90720-1075Phone(562) 743-1670FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseLMFT31014California