Individual ProviderTessa WoodenMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1131 California Ave Apt 102, Santa Monica, CA 90403-4192(310) 804-4520PECOS EnrollmentBased on the most recent information from CMS, provider Tessa Wooden 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 ID1629864178Provider TypeIndividualFull NameWooden, TessaCredentialLMFTGenderFemaleSole ProprietorYesEnumeration Date4/18/2025Last Updated4/18/2025Contact InformationPractice LocationPractice Address1131 California Ave Apt 102, Santa Monica, CA 90403-4192Phone(310) 804-4520FaxUnlisted FaxMailing LocationMailing Address1131 California Ave Apt 102, Santa Monica, CA 90403-4192Phone(310) 804-4520FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense138715California