Individual ProviderPatricia Carrillo UrenaMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3751 Stocker St, View Park, CA 90008-5101(368) 029-8323PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Carrillo Urena 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 ID1134418148Provider TypeIndividualFull NameUrena, Patricia CarrilloGenderFemaleSole ProprietorNoEnumeration Date3/30/2011Last Updated4/5/2021Contact InformationPractice LocationPractice Address3751 Stocker St, View Park, CA 90008-5101Phone(368) 029-8323FaxUnlisted FaxMailing LocationMailing Address3751 Stocker St, View Park, CA 90008-5101Phone(368) 029-8323FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense85360CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer