Individual ProviderZachary BorerMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1614 S Beverly Glen Blvd Apt 4, Los Angeles, CA 90024-6136(352) 359-1611PECOS EnrollmentBased on the most recent information from CMS, provider Zachary Borer 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 ID1467090944Provider TypeIndividualFull NameBorer, ZacharyCredentialLMFTGenderMaleSole ProprietorYesEnumeration Date12/16/2019Last Updated12/16/2019Contact InformationPractice LocationPractice Address1614 S Beverly Glen Blvd Apt 4, Los Angeles, CA 90024-6136Phone(352) 359-1611FaxUnlisted FaxMailing LocationMailing Address1614 S Beverly Glen Blvd Apt 4, Los Angeles, CA 90024-6136Phone(352) 359-1611FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense110316California