Individual ProviderMarcial FelanMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address7777 Avarado Rd., Suite #255, La Mesa, CA 91942(619) 212-5222PECOS EnrollmentBased on the most recent information from CMS, provider Marcial Felan 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 ID1699065961Provider TypeIndividualFull NameFelan, MarcialTitleDr.CredentialLMFTGenderMaleSole ProprietorYesEnumeration Date4/7/2011Last Updated2/12/2016Contact InformationPractice LocationPractice Address7777 Avarado Rd., Suite #255, La Mesa, CA 91942Phone(619) 212-5222Fax(619) 328-6856Mailing LocationMailing Address1669 Cerca Blanca Pl, El Cajon, CA 92019-2028Phone(619) 212-5222FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC45603California