Individual ProviderAnne DelmonteMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address24 Ursuline Rd, A, Santa Rosa, CA 95403-1729(707) 526-1167PECOS EnrollmentBased on the most recent information from CMS, provider Anne Delmonte 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 ID1437501939Provider TypeIndividualFull NameDelmonte, AnneCredentialM.F.C.C. LIC # 25427GenderFemaleSole ProprietorYesEnumeration Date7/7/2016Last Updated7/7/2016Contact InformationPractice LocationPractice Address24 Ursuline Rd, A, Santa Rosa, CA 95403-1729Phone(707) 526-1167Fax(707) 527-6417Mailing LocationMailing Address24 Ursuline Rd, A, Santa Rosa, CA 95403-1729Phone(707) 526-1167Fax(707) 527-6417Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense25427CaliforniaProvider IdentifiersIDDescriptionIssuerID25427DescriptionOtherIssuerMFCC LICENSE NUMBERCaliforniaID11700935DescriptionOtherIssuerCAQH PROVIDER ID