Individual ProviderMonika GreenMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address6201 Buena Vista Ave, Oakland, CA 94618-2130(510) 387-9492PECOS EnrollmentBased on the most recent information from CMS, provider Monika Green 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 ID1922135839Provider TypeIndividualFull NameGreen, MonikaTitleMs.CredentialMFTGenderFemaleSole ProprietorYesEnumeration Date2/27/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address6201 Buena Vista Ave, Oakland, CA 94618-2130Phone(510) 387-9492FaxUnlisted FaxMailing LocationMailing Address6201 Buena Vista Ave, Oakland, CA 94618-2130Phone(510) 387-9492FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFT34488California