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Karen V Jung

Counselor

Behavioral Health & Social Service Providers

14220 95th Ave NE, Kirkland, WA 98034-5152

PECOS Enrollment

Based on the most recent information from CMS, provider Karen V Jung 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
1295824993
Provider Type
Individual
Full Name
Jung, Karen V
Title
Ms.
Credential
MA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/12/2006
Last Updated
4/11/2017

Contact Information

Practice Location

14220 95th Ave NE, Kirkland, WA 98034-5152

(425) 487-3355

Unlisted Fax

Mailing Location

14220 95th Ave NE, Kirkland, WA 98034-5152

(425) 487-3355

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LA00003941 Washington

Provider Identifiers

ID	Description	Issuer
ID 211262	Description Other	Issuer TRI-CARE Washington
ID JU4229	Description Other	Issuer REGENCE Washington

Karen V Jung

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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ID

Description

Issuer

ID

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Issuer

ID

Description

Issuer

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