Susanne Barnes Mcgavin | Santa Rosa, CA • PECOS Search

Susanne Barnes Mcgavin

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3440 Airway Dr, Suite E, Santa Rosa, CA 95403-2065

(707) 544-3299 (415) 846-2926

PECOS Enrollment

Based on the most recent information from CMS, provider Susanne Barnes Mcgavin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1518197094
Provider Type
Individual
Full Name
Mcgavin, Susanne Barnes
Credential
M.F.T.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/20/2009
Last Updated
6/29/2010

Contact Information

Practice Location

3440 Airway Dr, Suite E, Santa Rosa, CA 95403-2065

(707) 544-6837

Mailing Location

PO Box 7, Petaluma, CA 94953-0007

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC39738 California