Individual ProviderKatrina HendricksMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address401 Bicentennial Way, Santa Rosa, CA 95403-2149(707) 861-1166PECOS EnrollmentBased on the most recent information from CMS, provider Katrina Hendricks 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 2 days ago.Profile DetailsProvider ID1932538014Provider TypeIndividualFull NameHendricks, KatrinaCredentialLMFTGenderFemaleSole ProprietorNoEnumeration Date11/8/2013Last Updated12/12/2023Contact InformationPractice LocationPractice Address401 Bicentennial Way, Santa Rosa, CA 95403-2149Phone(707) 861-1166FaxUnlisted FaxMailing LocationMailing Address401 Bicentennial Way, Santa Rosa, CA 95403-2149Phone(707) 861-1166FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense87931California