Individual ProviderJo Woodruff BenwellMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2777 Ventura Ave, Santa Rosa, CA 95403-2226(707) 565-1492PECOS EnrollmentBased on the most recent information from CMS, provider Jo Woodruff Benwell 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 ID1063572725Provider TypeIndividualFull NameBenwell, Jo WoodruffGenderFemaleSole ProprietorNoEnumeration Date12/11/2006Last Updated6/27/2014Contact InformationPractice LocationPractice Address2777 Ventura Ave, Santa Rosa, CA 95403-2226Phone(707) 565-1492FaxUnlisted FaxMailing LocationMailing Address2777 Ventura Ave, Santa Rosa, CA 95403-2226PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense25328California