Dori J Truax | Santa Rosa, CA • PECOS Search

Dori J Truax

Counselor

Behavioral Health & Social Service Providers

1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282

(707) 576-0818 (707) 837-0506

PECOS Enrollment

Based on the most recent information from CMS, provider Dori J Truax 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
1013037928
Provider Type
Individual
Full Name
Truax, Dori J
Title
Ms.
Credential
RI

Gender
Female
Sole Proprietor
No
Enumeration Date
4/2/2007
Last Updated
7/8/2007

Contact Information

Practice Location

1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282

Unlisted Fax

Mailing Location

1095 Rio Ruso Drive, Windsor, CA 95492

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License RI-T0606140923