Christine Russell | Kirkland, WA • PECOS Search

Christine Russell

Counselor

Behavioral Health & Social Service Providers

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

PECOS Enrollment

Based on the most recent information from CMS, provider Christine Russell 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
1154074722
Provider Type
Individual
Full Name
Russell, Christine
Gender
Female

Sole Proprietor
Yes
Enumeration Date
2/2/2022
Last Updated
2/2/2022

Contact Information

Practice Location

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

Unlisted Fax

Mailing Location

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

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer