Individual ProviderNicole Evangeline WebbMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address4245 Don Tomaso Dr Apt 4, Los Angeles, CA 90008-5348(323) 933-9022(323) 206-2929PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Evangeline Webb 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 ID1801361969Provider TypeIndividualFull NameWebb, Nicole EvangelineCredentialAMFT, APCCGenderFemaleSole ProprietorNoEnumeration Date10/4/2018Last Updated6/25/2024Contact InformationPractice LocationPractice Address4245 Don Tomaso Dr Apt 4, Los Angeles, CA 90008-5348Phone(323) 933-9022FaxUnlisted FaxMailing LocationMailing Address4245 Don Tomaso Dr Apt 4, Los Angeles, CA 90008-5348Phone(323) 206-2929FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense124785CaliforniaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia