Holly Hovagimian | Santa Rosa, CA • PECOS Search

Holly Hovagimian

Counselor

Behavioral Health & Social Service Providers

1710 Mendocino Ave, Santa Rosa, CA 95401-4317

PECOS Enrollment

Based on the most recent information from CMS, provider Holly Hovagimian 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
1366675068
Provider Type
Individual
Full Name
Hovagimian, Holly
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/27/2009
Last Updated
8/27/2009

Contact Information

Practice Location

1710 Mendocino Ave, Santa Rosa, CA 95401-4317

Unlisted Fax

Mailing Location

1710 Mendocino Ave, Santa Rosa, CA 95401-4317

Unlisted Fax

Provider Taxonomies

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