Individual ProviderMargaret KohoutMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2230 Professional Dr Ste A, Santa Rosa, CA 95403-3015(707) 841-1176PECOS EnrollmentBased on the most recent information from CMS, provider Margaret Kohout 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 ID1164076972Provider TypeIndividualFull NameKohout, MargaretGenderFemaleSole ProprietorYesEnumeration Date7/30/2019Last Updated1/27/2021Contact InformationPractice LocationPractice Address2230 Professional Dr Ste A, Santa Rosa, CA 95403-3015Phone(707) 841-1176FaxUnlisted FaxMailing LocationMailing Address2230 Professional Dr Ste A, Santa Rosa, CA 95403-3015Phone(707) 841-1176FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense113292California