Individual ProviderKenya De La RocheMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address9029 Park Plaza Dr, La Mesa, CA 91942(858) 933-5696PECOS EnrollmentBased on the most recent information from CMS, provider Kenya De La Roche 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 ID1821820580Provider TypeIndividualFull NameDe La Roche, KenyaGenderFemaleSole ProprietorNoEnumeration Date8/20/2024Last Updated8/20/2024Contact InformationPractice LocationPractice Address9029 Park Plaza Dr, La Mesa, CA 91942Phone(858) 933-5696FaxUnlisted FaxMailing LocationMailing Address9029 Park Plaza Dr Ste 102, La Mesa, CA 91942-3450Phone(858) 933-5696FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseAMFT148099California