Lydia Carlton Turner Kagel | Santa Rosa, CA • PECOS Search

Lydia Carlton Turner Kagel

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3436 Mendocino Ave Ste B, Santa Rosa, CA 95403-2180

PECOS Enrollment

Based on the most recent information from CMS, provider Lydia Carlton Turner Kagel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1891326732
Provider Type
Individual
Full Name
Kagel, Lydia Carlton Turner
Credential
AMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
1/29/2020
Last Updated
1/29/2020

Contact Information

Practice Location

3436 Mendocino Ave Ste B, Santa Rosa, CA 95403-2180

Unlisted Fax

Mailing Location

PO Box 1053, Geyserville, CA 95441-1053

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License AMFT110436 California