Adam John Villagomez | Santa Rosa, CA • PECOS Search

Adam John Villagomez

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 Adam John Villagomez 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
1861762775
Provider Type
Individual
Full Name
Villagomez, Adam John
Title
Mr.
Credential
CSAC-II

Gender
Male
Sole Proprietor
No
Enumeration Date
1/9/2012
Last Updated
1/9/2012

Contact Information

Practice Location

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

Unlisted Fax

Mailing Location

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

Unlisted Fax

Provider Taxonomies

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