Individual ProviderDonna Louise GuilloryMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5625 College Ave Ste 209, Oakland, CA 94618-1585(510) 654-1328PECOS EnrollmentBased on the most recent information from CMS, provider Donna Louise Guillory 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 ID1669681565Provider TypeIndividualFull NameGuillory, Donna LouiseCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date5/21/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5625 College Ave Ste 209, Oakland, CA 94618-1585Phone(510) 654-1328Fax(510) 635-0191Mailing LocationMailing Address5625 College Ave Ste 209, Oakland, CA 94618-1585Phone(510) 654-1328Fax(510) 635-0191Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFT13948California