Individual ProviderJohn Thomas EmmonsMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5478a College Ave, Oakland, CA 94618-1552(510) 986-9409PECOS EnrollmentBased on the most recent information from CMS, provider John Thomas Emmons 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 ID1700937968Provider TypeIndividualFull NameEmmons, John ThomasTitleMr.CredentialMFTGenderMaleSole ProprietorYesEnumeration Date1/15/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address5478a College Ave, Oakland, CA 94618-1552Phone(510) 986-9409FaxUnlisted FaxMailing LocationMailing Address5478a College Ave, Oakland, CA 94618-1552Phone(510) 986-9409FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC 29012California