Individual ProviderVirginia Vern PrivetteMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address17451 Bastanchury Rd, Suite 204-25, Yorba Linda, CA 92886-1857(714) 524-8181PECOS EnrollmentBased on the most recent information from CMS, provider Virginia Vern Privette 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 today at 10:37 AM.Profile DetailsProvider ID1881791960Provider TypeIndividualFull NamePrivette, Virginia VernCredentialMFTGenderFemaleSole ProprietorYesEnumeration Date9/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address17451 Bastanchury Rd, Suite 204-25, Yorba Linda, CA 92886-1857Phone(714) 524-8181Fax(714) 524-8181Mailing LocationMailing Address17451 Bastanchury Rd, Suite 204-25, Yorba Linda, CA 92886-1857Phone(714) 524-8181Fax(714) 524-8181Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC32154California