Individual ProviderMario G GuerreroMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2777 Ventura Ave, Santa Rosa, CA 95403-2226(707) 565-1564PECOS EnrollmentBased on the most recent information from CMS, provider Mario G Guerrero 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 ID1851452536Provider TypeIndividualFull NameGuerrero, Mario GGenderMaleSole ProprietorNoEnumeration Date12/13/2006Last Updated7/7/2014Contact InformationPractice LocationPractice Address2777 Ventura Ave, Santa Rosa, CA 95403-2226Phone(707) 565-1564FaxUnlisted FaxMailing LocationMailing Address2777 Ventura Ave, Santa Rosa, CA 95403-2226PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense30709California