Individual ProviderJessica KauffmannMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2730 Wilshire Blvd Ste 250, Santa Monica, CA 90403-4749(310) 418-3397PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Kauffmann 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 ID1487318952Provider TypeIndividualFull NameKauffmann, JessicaCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date10/29/2021Last Updated12/3/2021Contact InformationPractice LocationPractice Address2730 Wilshire Blvd Ste 250, Santa Monica, CA 90403-4749Phone(310) 418-3397FaxUnlisted FaxMailing LocationMailing Address1223 Wilshire Blvd # 162, Santa Monica, CA 90403-5406PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense121774California