Individual ProviderWilliam W. CretcherCounselorBehavioral Health & Social Service ProvidersPractice Address1901 Cleveland Avenue, # B, Santa Rosa Treatment Program, Santa Rosa, CA 95401(707) 566-0170(707) 576-0818PECOS EnrollmentBased on the most recent information from CMS, provider William W. Cretcher 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 ID1518178748Provider TypeIndividualFull NameCretcher, William W.TitleMr.CredentialRASGenderMaleSole ProprietorNoEnumeration Date5/28/2007Last Updated8/22/2014Contact InformationPractice LocationPractice Address1901 Cleveland Avenue, # B, Santa Rosa Treatment Program, Santa Rosa, CA 95401Phone(707) 566-0170Fax(707) 568-5445Mailing LocationMailing Address1901 Cleveland Avenue, # B, Santa Rosa Treatment Program, Santa Rosa, CA 95401Phone(707) 576-0818Fax(707) 576-7845Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseRAS C0412271240CaliforniaCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer