Kenneth B Dumbrill | Santa Rosa, CA • PECOS Search

Kenneth B Dumbrill

Counselor

Behavioral Health & Social Service Providers

144 Stony Point Rd, Santa Rosa, CA 95401-4122

PECOS Enrollment

Based on the most recent information from CMS, provider Kenneth B Dumbrill 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
1679823074
Provider Type
Individual
Full Name
Dumbrill, Kenneth B
Title
Mr.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/12/2012
Last Updated
9/12/2012

Contact Information

Practice Location

144 Stony Point Rd, Santa Rosa, CA 95401-4122

(707) 544-1092

Mailing Location

144 Stony Point Rd, Santa Rosa, CA 95401-4122

(707) 544-1092

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License A4247039 California