Michele Maxwell | La Mesa, CA • PECOS Search

Michele Maxwell

Marriage & Family Therapist

Behavioral Health & Social Service Providers

4700 Spring St, #220, La Mesa, CA 91942-0263

(619) 667-3380 (619) 528-4600

PECOS Enrollment

Based on the most recent information from CMS, provider Michele Maxwell 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 2 days ago.

Profile Details

Provider ID
1760506794
Provider Type
Individual
Full Name
Maxwell, Michele
Credential
MFT

Gender
Female
Sole Proprietor
No
Enumeration Date
3/16/2007
Last Updated
2/21/2020

Contact Information

Practice Location

4700 Spring St, #220, La Mesa, CA 91942-0263

(619) 667-0815

Mailing Location

PO Box 609001, San Diego, CA 92160-9001

(619) 528-4625

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License LMFT49509 California