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Thomas O'Donnell

Counselor

Behavioral Health & Social Service Providers

480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691

PECOS Enrollment

Based on the most recent information from CMS, provider Thomas O'Donnell 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
1316497357
Provider Type
Individual
Full Name
O'Donnell, Thomas
Gender
Male

Sole Proprietor
No
Enumeration Date
10/13/2016
Last Updated
7/21/2025

Contact Information

Practice Location

480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691

(707) 206-7268

Unlisted Fax

Mailing Location

480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691

(707) 206-7268

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License AII32430520 California
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Thomas O'Donnell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Olsen, Keith

Boisclair, Earl

Gordinier, Stephen

Pare, Gaile Therese

French, Alexander Cory

Hovagimian, Holly

Gonzalez Hernandez, Paul Cesar

Mckelvey, Calico Rose

Cullinen, Richard M.

Tarbe, Claude