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Tina Thuen

Social Worker

Behavioral Health & Social Service Providers

645 Wool Creek Dr, San Jose, CA 95112-2617

(408) 283-6151

PECOS Enrollment

Based on the most recent information from CMS, provider Tina Thuen 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
1760732663
Provider Type
Individual
Full Name
Thuen, Tina
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/18/2012
Last Updated
5/7/2018

Contact Information

Practice Location

645 Wool Creek Dr, San Jose, CA 95112-2617

(408) 283-6151

Unlisted Fax

Mailing Location

2625 Zanker Rd, San Jose, CA 95134-2130

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Tina Thuen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Monje, Noe

Silva, Giselle

Gomez, Jesse A

Trinh, Jennifer Ngoc

Garcia, Thania

Rodriguez, Sonia L

Tang, Amy

Biber-Ferro, Lina

Varner, Veronica Rose

Garcia, Lorena