Individual ProviderMaureen Ann DevineMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3452 Mendocino Ave Ste C, Santa Rosa, CA 95403-2221(707) 542-4502PECOS EnrollmentBased on the most recent information from CMS, provider Maureen Ann Devine 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 ID1124219860Provider TypeIndividualFull NameDevine, Maureen AnnTitleMs.CredentialMFCGenderFemaleSole ProprietorYesEnumeration Date8/7/2007Last Updated8/7/2007Contact InformationPractice LocationPractice Address3452 Mendocino Ave Ste C, Santa Rosa, CA 95403-2221Phone(707) 542-4502Fax(707) 579-8755Mailing LocationMailing Address3452 Mendocino Ave Ste C, Santa Rosa, CA 95403-2221Phone(707) 542-4502Fax(707) 579-8755Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense42062California