Individual ProviderKelly Anne MoenMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address1404 NE 134th St Ste 290, Vancouver, WA 98685-2799(360) 606-9099PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Anne Moen 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 ID1255050704Provider TypeIndividualFull NameMoen, Kelly AnneGenderFemaleSole ProprietorNoEnumeration Date8/26/2022Last Updated2/27/2026Contact InformationPractice LocationPractice Address1404 NE 134th St Ste 290, Vancouver, WA 98685-2799Phone(360) 606-9099FaxUnlisted FaxMailing LocationMailing Address5008 NE 130th St, Vancouver, WA 98686-4975Phone(360) 606-9099FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseLF70068506Washington