Individual ProviderRodney McinnisCounselorBehavioral Health & Social Service ProvidersPractice Address1901 Cleveland Ave, Santa Rosa, CA 95401-4282(707) 576-0818PECOS EnrollmentBased on the most recent information from CMS, provider Rodney Mcinnis 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 ID1427326982Provider TypeIndividualFull NameMcinnis, RodneyTitleMr.CredentialRAS IGenderMaleSole ProprietorNoEnumeration Date12/12/2011Last Updated12/12/2011Contact InformationPractice LocationPractice Address1901 Cleveland Ave, Santa Rosa, CA 95401-4282Phone(707) 576-0818Fax(707) 576-7845Mailing LocationMailing Address1901 Cleveland Ave, Santa Rosa, CA 95401-4282Phone(707) 576-0818Fax(707) 576-7845Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseRAS M0501071332California