Individual ProviderJessica Rose HeaneyMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address101 Wikiup Dr, Santa Rosa, CA 95403-1375(510) 317-1444PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Rose Heaney 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 ID1700498078Provider TypeIndividualFull NameHeaney, Jessica RoseGenderFemaleSole ProprietorNoEnumeration Date8/18/2020Last Updated4/12/2022Contact InformationPractice LocationPractice Address101 Wikiup Dr, Santa Rosa, CA 95403-1375Phone(510) 317-1444FaxUnlisted FaxMailing LocationMailing Address8945 Golf Links Rd, Oakland, CA 94605-4124PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense132253CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer