Individual ProviderChandra Diana SlavonicMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2403 Professional Dr, Suite 101, Santa Rosa, CA 95403-3007(707) 544-3295PECOS EnrollmentBased on the most recent information from CMS, provider Chandra Diana Slavonic 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 ID1366652497Provider TypeIndividualFull NameSlavonic, Chandra DianaCredentialMFTGenderFemaleSole ProprietorNoEnumeration Date5/24/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2403 Professional Dr, Suite 101, Santa Rosa, CA 95403-3007Phone(707) 544-3295Fax(707) 544-9011Mailing LocationMailing Address2403 Professional Dr, Suite 101, Santa Rosa, CA 95403-3007Phone(707) 544-3295Fax(707) 544-9011Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense32746California