Individual ProviderMichael L CecconiMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5156 Shafter Ave, Oakland, CA 94618-1049(646) 413-1108PECOS EnrollmentBased on the most recent information from CMS, provider Michael L Cecconi 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 34 days ago.Profile DetailsProvider ID1619837705Provider TypeIndividualFull NameCecconi, Michael LCredentialAMFTGenderMaleSole ProprietorNoEnumeration Date11/12/2025Last Updated11/12/2025Contact InformationPractice LocationPractice Address5156 Shafter Ave, Oakland, CA 94618-1049Phone(646) 413-1108FaxUnlisted FaxMailing LocationMailing Address5156 Shafter Ave, Oakland, CA 94618-1049Phone(646) 413-1108FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseAMFT158911California