Individual ProviderAndrea SandersCounselorBehavioral Health & Social Service ProvidersPractice Address1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282(707) 576-0818(707) 569-7541PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Sanders 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 2 days ago.Profile DetailsProvider ID1952421331Provider TypeIndividualFull NameSanders, AndreaTitleMs.CredentialRASGenderFemaleSole ProprietorNoEnumeration Date3/30/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282Phone(707) 576-0818Fax(707) 576-7845Mailing LocationMailing AddressPO Box 5672, Santa Rosa, CA 95402-5672Phone(707) 569-7541FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseRAS S0503011413