Mary Jean Hayes | Santa Rosa, CA • PECOS Search

Mary Jean Hayes

Marriage & Family Therapist

Behavioral Health & Social Service Providers

1421 Guerneville Road, Ste 114, Santa Rosa, CA 95403

(707) 542-8979 (415) 897-1348

PECOS Enrollment

Based on the most recent information from CMS, provider Mary Jean Hayes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1144434200
Provider Type
Individual
Full Name
Hayes, Mary Jean
Title
Dr.
Credential
PHD MFT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/9/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1421 Guerneville Road, Ste 114, Santa Rosa, CA 95403

(707) 542-8922

Mailing Location

20 Bay Tree Hollow, Novato, CA 94945

(928) 833-1787

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 5862 California