Individual ProviderKaitlyn DunawayMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2350 Professional Dr, Santa Rosa, CA 95403-3018(707) 565-4963PECOS EnrollmentBased on the most recent information from CMS, provider Kaitlyn Dunaway 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 ID1306620935Provider TypeIndividualFull NameDunaway, KaitlynGenderFemaleSole ProprietorNoEnumeration Date8/23/2023Last Updated8/23/2023Contact InformationPractice LocationPractice Address2350 Professional Dr, Santa Rosa, CA 95403-3018Phone(707) 565-4963FaxUnlisted FaxMailing LocationMailing Address2350 Professional Dr, Santa Rosa, CA 95403-3018PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia