Individual ProviderStacey AnnandMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4990 Williams Ave, La Mesa, CA 91942-7409(619) 668-4220PECOS EnrollmentBased on the most recent information from CMS, provider Stacey Annand 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 ID1568732683Provider TypeIndividualFull NameAnnand, StaceyCredentialPHD, LMFTGenderFemaleSole ProprietorYesEnumeration Date1/5/2012Last Updated8/14/2018Contact InformationPractice LocationPractice Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4220FaxUnlisted FaxMailing LocationMailing Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4220FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseLMFT98137CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense68219California