Individual ProviderTeresa LupinacciCounselorBehavioral Health & Social Service ProvidersPractice Address12914 111th Pl NE, Kirkland, WA 98034-6308(206) 818-2719PECOS EnrollmentBased on the most recent information from CMS, provider Teresa Lupinacci 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 ID1063143816Provider TypeIndividualFull NameLupinacci, TeresaCredentialMAGenderFemaleSole ProprietorYesEnumeration Date6/22/2022Last Updated6/22/2022Contact InformationPractice LocationPractice Address12914 111th Pl NE, Kirkland, WA 98034-6308Phone(206) 818-2719FaxUnlisted FaxMailing LocationMailing Address12914 111th Pl NE, Kirkland, WA 98034-6308Phone(206) 818-2719FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense60175009Washington