Individual ProviderTracey HambrickMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3440 Airway Dr, Suite E, Santa Rosa, CA 95403-2065(707) 544-3299PECOS EnrollmentBased on the most recent information from CMS, provider Tracey Hambrick 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 yesterday at 1:08 PM.Profile DetailsProvider ID1619358298Provider TypeIndividualFull NameHambrick, TraceyGenderFemaleSole ProprietorYesEnumeration Date6/9/2015Last Updated6/9/2015Contact InformationPractice LocationPractice Address3440 Airway Dr, Suite E, Santa Rosa, CA 95403-2065Phone(707) 544-3299FaxUnlisted FaxMailing LocationMailing Address714b Oklahoma Dr, Petaluma, CA 94952-9120PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF #76216California