Individual ProviderBenjamin FeldbushCounselorBehavioral Health & Social Service ProvidersPractice Address1201 S Proctor St, Tacoma, WA 98405-2047(253) 396-5800PECOS EnrollmentBased on the most recent information from CMS, provider Benjamin Feldbush 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 4 days ago.Profile DetailsProvider ID1023585916Provider TypeIndividualFull NameFeldbush, BenjaminGenderMaleSole ProprietorYesEnumeration Date10/29/2018Last Updated10/29/2018Contact InformationPractice LocationPractice Address1201 S Proctor St, Tacoma, WA 98405-2047Phone(253) 396-5800FaxUnlisted FaxMailing LocationMailing Address1201 S Proctor St, Tacoma, WA 98405-2047Phone(253) 396-5800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCG60848095WashingtonProvider IdentifiersIDDescriptionIssuerIDCG60848095DescriptionOtherIssuerAGENCY AFFILIATEDWashington