Individual ProviderJerome ParmerCounselorBehavioral Health & Social Service ProvidersPractice Address390 40th St, Oakland, CA 94609-2633(510) 613-0330PECOS EnrollmentBased on the most recent information from CMS, provider Jerome Parmer 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 ID1770176786Provider TypeIndividualFull NameParmer, JeromeTitleDr.CredentialPH.D.GenderMaleSole ProprietorNoEnumeration Date2/19/2021Last Updated2/19/2021Contact InformationPractice LocationPractice Address390 40th St, Oakland, CA 94609-2633Phone(510) 613-0330FaxUnlisted FaxMailing LocationMailing Address390 40th St, Oakland, CA 94609-2633Phone(510) 613-0330FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia