Karen Lynn Wiener | Santa Monica, CA • PECOS Search

Karen Lynn Wiener

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1158 26th St # 138, Santa Monica, CA 90403-4621

PECOS Enrollment

Based on the most recent information from CMS, provider Karen Lynn Wiener 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 2 days ago.

Profile Details

Provider ID
1265565303
Provider Type
Individual
Full Name
Wiener, Karen Lynn
Title
Ms.
Credential
MA,M.F.T., CMC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/14/2007
Last Updated
4/29/2010

Contact Information

Practice Location

1158 26th St # 138, Santa Monica, CA 90403-4621

Unlisted Fax

Mailing Location

1158 26th St # 138, Santa Monica, CA 90403-4621

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC42683 California