Individual ProviderLynda I HutchensMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5736 Fairway Knoll Ln, Santa Rosa, CA 95403-0981(707) 591-5364PECOS EnrollmentBased on the most recent information from CMS, provider Lynda I Hutchens 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 ID1447313259Provider TypeIndividualFull NameHutchens, Lynda ICredentialNCC, MFTGenderFemaleSole ProprietorYesEnumeration Date12/19/2006Last Updated7/9/2015Contact InformationPractice LocationPractice Address5736 Fairway Knoll Ln, Santa Rosa, CA 95403-0981Phone(707) 591-5364Fax(707) 566-6986Mailing LocationMailing Address5736 Fairway Knoll Ln, Santa Rosa, CA 95403-0981Phone(707) 591-5364Fax(707) 566-6986Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense45407CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense101Hawaii