Susan Charlotte Fette | Santa Rosa, CA • PECOS Search

Susan Charlotte Fette

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3554 Round Barn Blvd, Suite 100, Santa Rosa, CA 95403-0929

(707) 571-3713 (707) 484-5091

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Charlotte Fette 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
1639516198
Provider Type
Individual
Full Name
Fette, Susan Charlotte
Credential
MFT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2013
Last Updated
5/23/2013

Contact Information

Practice Location

3554 Round Barn Blvd, Suite 100, Santa Rosa, CA 95403-0929

Unlisted Fax

Mailing Location

4783 Tarton Dr, Santa Rosa, CA 95405-7950

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 39653 California