Mariah Looney | Stockton, CA • PECOS Search

Mariah Looney

Counselor

Behavioral Health & Social Service Providers

1201 N El Dorado St, Stockton, CA 95202-1306

(209) 468-3760 (209) 468-8700

PECOS Enrollment

Based on the most recent information from CMS, provider Mariah Looney does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1669864633
Provider Type
Individual
Full Name
Looney, Mariah
Gender
Female

Sole Proprietor
No
Enumeration Date
2/26/2015
Last Updated
2/26/2015

Contact Information

Practice Location

1201 N El Dorado St, Stockton, CA 95202-1306

Unlisted Fax

Mailing Location

1212 N California St, Stockton, CA 95202-1552

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer