Mark R Gery | Los Alamitos, CA • PECOS Search

Mark R Gery

Marriage & Family Therapist

Behavioral Health & Social Service Providers

5122 Katella Ave, 201, Los Alamitos, CA 90720-2826

(562) 431-8822 (714) 957-1647

PECOS Enrollment

Based on the most recent information from CMS, provider Mark R Gery does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1942354337
Provider Type
Individual
Full Name
Gery, Mark R
Credential
MFT

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/22/2007
Last Updated
7/8/2007

Contact Information

Practice Location

5122 Katella Ave, 201, Los Alamitos, CA 90720-2826

Unlisted Fax

Mailing Location

2709 S Diamond St, Santa Ana, CA 92704-6012

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 32692 California