Michelle Jensen | Santa Rosa, CA • PECOS Search

Michelle Jensen

Counselor

Behavioral Health & Social Service Providers

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

(707) 576-0818 (707) 528-0387

PECOS Enrollment

Based on the most recent information from CMS, provider Michelle Jensen 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 yesterday at 9:43 AM.

Profile Details

Provider ID
1538289814
Provider Type
Individual
Full Name
Jensen, Michelle
Title
Ms.
Credential
RAS

Gender
Female
Sole Proprietor
No
Enumeration Date
3/30/2007
Last Updated
7/8/2007

Contact Information

Practice Location

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

(707) 576-7845

Mailing Location

973 Stony Point Rd, Santa Rosa, CA 95407-7129

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License RAS J0501120759