Individual ProviderMichael John MofranCounselorBehavioral Health & Social Service ProvidersPractice Address390 40th St, Oakland, CA 94609-2633(510) 653-5040PECOS EnrollmentBased on the most recent information from CMS, provider Michael John Mofran 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 2 days ago.Profile DetailsProvider ID1912130402Provider TypeIndividualFull NameMofran, Michael JohnGenderMaleSole ProprietorNoEnumeration Date8/31/2009Last Updated8/31/2009Contact InformationPractice LocationPractice Address390 40th St, Oakland, CA 94609-2633Phone(510) 653-5040Fax(510) 653-6475Mailing LocationMailing Address390 40th St, Oakland, CA 94609-2633Phone(510) 653-5040Fax(510) 653-6475Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer