Individual ProviderSaranne J WilsonMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4700 Spring Street #307, La Mesa, CA 91942(619) 328-1343PECOS EnrollmentBased on the most recent information from CMS, provider Saranne J Wilson 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 ID1770892291Provider TypeIndividualFull NameWilson, Saranne JCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date9/30/2010Last Updated1/28/2016Contact InformationPractice LocationPractice Address4700 Spring Street #307, La Mesa, CA 91942Phone(619) 328-1343Fax(619) 328-1354Mailing LocationMailing Address4700 Spring Street, #307, La Mesa, CA 91942Phone(619) 328-1343Fax(619) 328-1354Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC40383California