Individual ProviderMarisa S GarciaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4990 Williams Ave, La Mesa, CA 91942-7409(619) 668-4200PECOS EnrollmentBased on the most recent information from CMS, provider Marisa S Garcia 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 ID1962801316Provider TypeIndividualFull NameGarcia, Marisa SGenderFemaleSole ProprietorNoEnumeration Date8/21/2014Last Updated7/11/2016Contact InformationPractice LocationPractice Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4200FaxUnlisted FaxMailing LocationMailing Address4990 Williams Ave, La Mesa, CA 91942-7409Phone(619) 668-4200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense88772California