Douglas Duell | Santa Rosa, CA • PECOS Search

Douglas Duell

Marriage & Family Therapist

Behavioral Health & Social Service Providers

3559 Round Barn Blvd, Santa Rosa, CA 95403-1763

(707) 571-3947 (707) 829-3336

PECOS Enrollment

Based on the most recent information from CMS, provider Douglas Duell 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
1891860391
Provider Type
Individual
Full Name
Duell, Douglas
Credential
MFT

Gender
Male
Sole Proprietor
No
Enumeration Date
11/21/2006
Last Updated
7/8/2007

Contact Information

Practice Location

3559 Round Barn Blvd, Santa Rosa, CA 95403-1763

(707) 571-3298

Mailing Location

PO Box 1296, Guerneville, CA 95446-1296

(707) 869-2751

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License MFC35746 California