Stephen Gordinier | Santa Rosa, CA • PECOS Search

Stephen Gordinier

Counselor

Behavioral Health & Social Service Providers

1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298

PECOS Enrollment

Based on the most recent information from CMS, provider Stephen Gordinier 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 2 days ago.

Profile Details

Provider ID
1770931040
Provider Type
Individual
Full Name
Gordinier, Stephen
Gender
Male

Sole Proprietor
No
Enumeration Date
5/27/2016
Last Updated
5/27/2016

Contact Information

Practice Location

1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298

(707) 576-7845

Mailing Location

1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YA0400X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer