Individual ProviderDorothy Lynn IriksMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3440 Airway Dr Ste E, Santa Rosa, CA 95403-2065(707) 544-3299(707) 529-9465PECOS EnrollmentBased on the most recent information from CMS, provider Dorothy Lynn Iriks 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 3 days ago.Profile DetailsProvider ID1841331477Provider TypeIndividualFull NameIriks, Dorothy LynnCredentialMFTGenderFemaleSole ProprietorNoEnumeration Date2/8/2007Last Updated3/10/2015Contact InformationPractice LocationPractice Address3440 Airway Dr Ste E, Santa Rosa, CA 95403-2065Phone(707) 544-3299FaxUnlisted FaxMailing LocationMailing Address467 Hunter Lane Ext, Santa Rosa, CA 95404-9716Phone(707) 529-9465FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense82225CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer