Individual ProviderNichole Uilani WolfCounselorBehavioral Health & Social Service ProvidersPractice Address1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609(707) 888-2927(707) 718-4872PECOS EnrollmentBased on the most recent information from CMS, provider Nichole Uilani Wolf 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 yesterday at 9:43 AM.Profile DetailsProvider ID1679106934Provider TypeIndividualFull NameWolf, Nichole UilaniGenderFemaleSole ProprietorNoEnumeration Date2/14/2020Last Updated11/18/2024Contact InformationPractice LocationPractice Address1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609Phone(707) 888-2927FaxUnlisted FaxMailing LocationMailing Address609 Jefferson St, Fairfield, CA 94533-6293Phone(707) 718-4872FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense17620CaliforniaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer