Individual ProviderJessica M KnottMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3870 Crenshaw Blvd, Los Angeles, CA 90008-1837(323) 290-5058(310) 945-3350PECOS EnrollmentBased on the most recent information from CMS, provider Jessica M Knott 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 ID1437796224Provider TypeIndividualFull NameKnott, Jessica MGenderFemaleSole ProprietorNoEnumeration Date11/29/2019Last Updated9/24/2021Contact InformationPractice LocationPractice Address3870 Crenshaw Blvd, Los Angeles, CA 90008-1837Phone(323) 290-5058FaxUnlisted FaxMailing LocationMailing Address9808 Venice Blvd Ste 700, Culver City, CA 90232-6824Phone(310) 945-3350Fax(310) 945-3356Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer