Edouard Skinner | Kirkland, WA • PECOS Search

Edouard Skinner

Counselor

Behavioral Health & Social Service Providers

12220 113th Ave NE Ste 210, Kirkland, WA 98034-6950

(425) 403-5765 (315) 400-0350

PECOS Enrollment

Based on the most recent information from CMS, provider Edouard Skinner 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
1043925860
Provider Type
Individual
Full Name
Skinner, Edouard
Gender
Male

Sole Proprietor
No
Enumeration Date
1/16/2023
Last Updated
12/30/2024

Contact Information

Practice Location

12220 113th Ave NE Ste 210, Kirkland, WA 98034-6950

Unlisted Fax

Mailing Location

2319 1st Ave Apt 502, Seattle, WA 98121-3605

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MC61581620 Washington