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Paul E. Margolis

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3434 Mendocino Ave, Suite A, Santa Rosa, CA 95403-2274

(707) 284-1978

PECOS Enrollment

Based on the most recent information from CMS, provider Paul E. Margolis 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
1689997637
Provider Type
Individual
Full Name
Margolis, Paul E.
Title
Mr.
Credential
LMFT

Gender
Male
Sole Proprietor
No
Enumeration Date
3/4/2010
Last Updated
2/9/2017

Contact Information

Practice Location

3434 Mendocino Ave, Suite A, Santa Rosa, CA 95403-2274

(707) 284-1978

(707) 708-2188

Mailing Location

PO Box 9591, Santa Rosa, CA 95405-1591

(707) 284-1978

(707) 708-2188

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC34259 California

Provider Identifiers

ID	Description	Issuer
ID 1689997637	Description Medicaid	Issuer Unlisted California
ID MFC34259	Description Other	Issuer BOARD OF BEHAVIORAL SCIENCES California

Paul E. Margolis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Bromley, George William

Currier, Kelly

Heidenreich, Abbey Elizabeth Homen

Harper, Reid Martin

Smith, Leona M

Moline, Gary L

Smithfield-Straus, Jeanne Marie

Brown, Katelyn Marie

Messinger, Raymond Vincent

Janson, Nicole Erika