Individual ProviderJennifer Anne SantosMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address3440 Airway Dr Ste E, Santa Rosa, CA 95403-2065(707) 544-3299PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Anne Santos 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 ID1871630574Provider TypeIndividualFull NameSantos, Jennifer AnneCredentialMFT INTERNGenderFemaleSole ProprietorNoEnumeration Date1/31/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3440 Airway Dr Ste E, Santa Rosa, CA 95403-2065Phone(707) 544-3299Fax(707) 544-6837Mailing LocationMailing Address3440 Airway Dr Ste E, Santa Rosa, CA 95403-2065Phone(707) 544-3299Fax(707) 544-6837Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseIMF52150California