Individual ProviderJeremiah WattsMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2115 Lapper Ave, Santa Rosa, CA 95403-8127(707) 453-6227PECOS EnrollmentBased on the most recent information from CMS, provider Jeremiah Watts 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 ID1326471160Provider TypeIndividualFull NameWatts, JeremiahGenderMaleSole ProprietorNoEnumeration Date8/15/2013Last Updated4/17/2024Contact InformationPractice LocationPractice Address2115 Lapper Ave, Santa Rosa, CA 95403-8127Phone(707) 453-6227FaxUnlisted FaxMailing LocationMailing Address2045 W El Camino Ave Apt 509, Sacramento, CA 95833-1483PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF84037CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer