Nicole Erika Janson | Santa Rosa, CA • PECOS Search

Nicole Erika Janson

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3164 Condo Ct, Santa Rosa, CA 95403-2557

(707) 523-2334 (415) 786-0950

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Erika Janson 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 2 days ago.

Profile Details

Provider ID
1235449547
Provider Type
Individual
Full Name
Janson, Nicole Erika
Title
Ms.
Credential
MFT INTERN

Gender
Female
Sole Proprietor
No
Enumeration Date
10/20/2010
Last Updated
10/20/2010

Contact Information

Practice Location

3164 Condo Ct, Santa Rosa, CA 95403-2557

(707) 523-0133

Mailing Location

476 Cane St Apt 10, Larkspur, CA 94939-2079

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 54056 California