Individual ProviderJudy DodgenMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5212 Katella Ave Ste 202, Los Alamitos, CA 90720-6831(562) 881-7801PECOS EnrollmentBased on the most recent information from CMS, provider Judy Dodgen is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1922558162Provider TypeIndividualFull NameDodgen, JudyTitleMs.CredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date10/12/2016Last Updated2/19/2025Contact InformationPractice LocationPractice Address5212 Katella Ave Ste 202, Los Alamitos, CA 90720-6831Phone(562) 881-7801FaxUnlisted FaxMailing LocationMailing Address13025 Bailey St Ste D, Whittier, CA 90601-4204Phone(562) 881-7801FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense44329California