Individual ProviderDebra GoldMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address835 Piner Rd, Santa Rosa, CA 95403-2063(520) 603-1244PECOS EnrollmentBased on the most recent information from CMS, provider Debra Gold is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1386269918Provider TypeIndividualFull NameGold, DebraGenderFemaleSole ProprietorYesEnumeration Date6/9/2020Last Updated6/9/2020Contact InformationPractice LocationPractice Address835 Piner Rd, Santa Rosa, CA 95403-2063Phone(520) 603-1244FaxUnlisted FaxMailing LocationMailing Address4582a Pressley Rd, Santa Rosa, CA 95404-8527Phone(520) 603-1244FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense99572California