Individual ProviderJose Elias VillafanaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address8080 La Mesa Blvd Ste 204, La Mesa, CA 91942-0362(619) 540-0700PECOS EnrollmentBased on the most recent information from CMS, provider Jose Elias Villafana 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 ID1831228824Provider TypeIndividualFull NameVillafana, Jose EliasTitleMr.CredentialMFTGenderMaleSole ProprietorYesEnumeration Date3/5/2007Last Updated3/17/2018Contact InformationPractice LocationPractice Address8080 La Mesa Blvd Ste 204, La Mesa, CA 91942-0362Phone(619) 540-0700Fax(619) 462-1856Mailing LocationMailing AddressPO Box 1156, Lemon Grove, CA 91946-1156Phone(619) 540-0700Fax(619) 462-1856Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC 36841California