Individual ProviderSean VitaliCounselorBehavioral Health & Social Service ProvidersPractice Address390 40th St, Oakland, CA 94609-2633(510) 653-5040PECOS EnrollmentBased on the most recent information from CMS, provider Sean Vitali 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 ID1558688952Provider TypeIndividualFull NameVitali, SeanGenderMaleSole ProprietorNoEnumeration Date4/23/2010Last Updated4/23/2010Contact InformationPractice LocationPractice Address390 40th St, Oakland, CA 94609-2633Phone(510) 653-5040Fax(510) 653-6475Mailing LocationMailing Address390 40th St, Oakland, CA 94609-2633Phone(510) 653-5040Fax(510) 653-6475Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer