Individual ProviderJannae Estrada RiceCounselorBehavioral Health & Social Service ProvidersPractice Address13128 Totem Lake Blvd NE, # 104, Kirkland, WA 98034-2953(508) 843-1880PECOS EnrollmentBased on the most recent information from CMS, provider Jannae Estrada Rice 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 ID1083048532Provider TypeIndividualFull NameRice, Jannae EstradaCredentialLMHC, CN, LMP,GenderFemaleSole ProprietorYesEnumeration Date9/2/2013Last Updated1/20/2018Contact InformationPractice LocationPractice Address13128 Totem Lake Blvd NE, # 104, Kirkland, WA 98034-2953Phone(508) 843-1880FaxUnlisted FaxMailing LocationMailing Address16520 North Rd Apt C203, Bothell, WA 98012-5961Phone(508) 843-1880FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH60774623WashingtonCode133NN1002XDescriptionNutritionistDietary & Nutritional Service ProvidersLicenseNU 60300922Washington