Individual ProviderTina Marie Moore-BoettcherCounselorBehavioral Health & Social Service ProvidersPractice Address1201 S Proctor St, Tacoma, WA 98405-2047(253) 396-5800PECOS EnrollmentBased on the most recent information from CMS, provider Tina Marie Moore-Boettcher 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 ID1053763904Provider TypeIndividualFull NameMoore-Boettcher, Tina MarieTitleMs.GenderFemaleSole ProprietorNoEnumeration Date7/4/2016Last Updated7/4/2016Contact InformationPractice LocationPractice Address1201 S Proctor St, Tacoma, WA 98405-2047Phone(253) 396-5800Fax(253) 759-7008Mailing LocationMailing Address1201 S Proctor St, Tacoma, WA 98405-2047Phone(253) 396-5800Fax(253) 759-7008Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCG 60603619WashingtonProvider IdentifiersIDDescriptionIssuerIDCG 60603619DescriptionOtherIssuerCOUNSELOR AGENCY AFFILIATED REGISTRATIONWashington