Individual ProviderLaura C StromMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3442 Mendocino Ave, Suite A, Bldg E, Santa Rosa, CA 95403-2221(707) 889-9168PECOS EnrollmentBased on the most recent information from CMS, provider Laura C Strom 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 ID1730425653Provider TypeIndividualFull NameStrom, Laura CCredentialM.S., LMFT, LPCCGenderFemaleSole ProprietorYesEnumeration Date12/20/2012Last Updated12/20/2012Contact InformationPractice LocationPractice Address3442 Mendocino Ave, Suite A, Bldg E, Santa Rosa, CA 95403-2221Phone(707) 889-9168Fax(707) 865-9707Mailing LocationMailing AddressPO Box 353, Monte Rio, CA 95462-0353Phone(707) 889-9168Fax(707) 865-9707Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC49174CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC149California