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Marie Nersesian

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274

(707) 284-1978

PECOS Enrollment

Based on the most recent information from CMS, provider Marie Nersesian 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
1275193674
Provider Type
Individual
Full Name
Nersesian, Marie
Credential
MA

Gender
Female
Sole Proprietor
No
Enumeration Date
6/18/2019
Last Updated
11/22/2024

Contact Information

Practice Location

3434 Mendocino Ave Bldg C, Santa Rosa, CA 95403-2274

(707) 284-1978

Unlisted Fax

Mailing Location

2862 Bighorn Sheep St, Santa Rosa, CA 95407-4557

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 119548 California
Code 106H00000X	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 109861 California

Marie Nersesian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Love, Savannah Dominique

Evans, David Arland

Mcdonough, Tina Lee

Cassidy, Thomas Allen

Margolis, Paul E.

Hutchens, Lynda I

Guerrero, Mario G

Genthe, William F.

Sremba, Lana

Leise, Jeri Lynn