Individual ProviderDante CarlozziMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776(510) 317-1444PECOS EnrollmentBased on the most recent information from CMS, provider Dante Carlozzi 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 3 days ago.Profile DetailsProvider ID1003422973Provider TypeIndividualFull NameCarlozzi, DanteGenderMaleSole ProprietorNoEnumeration Date9/16/2020Last Updated9/12/2024Contact InformationPractice LocationPractice Address160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776Phone(510) 317-1444FaxUnlisted FaxMailing LocationMailing Address160 Wikiup Dr Ste 102, Santa Rosa, CA 95403-7776Phone(510) 317-1444FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense141962California