Individual ProviderJessica Nicole CarterCounselorBehavioral Health & Social Service ProvidersPractice Address2201 S 19th St, Tacoma, WA 98405-2962(253) 678-0866PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Nicole Carter 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 ID1235876186Provider TypeIndividualFull NameCarter, Jessica NicoleGenderFemaleSole ProprietorNoEnumeration Date5/12/2022Last Updated5/12/2022Contact InformationPractice LocationPractice Address2201 S 19th St, Tacoma, WA 98405-2962Phone(253) 678-0866FaxUnlisted FaxMailing LocationMailing Address2201 S 19th St, Tacoma, WA 98405-2962PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer