Individual ProviderCrystal ChenCounselorBehavioral Health & Social Service ProvidersPractice Address12510 109th Ct NE Apt E202, Kirkland, WA 98034-0810(425) 736-9704PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Chen 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 ID1457954901Provider TypeIndividualFull NameChen, CrystalTitleMissCredentialATR-BC, LCAT, LMHCGenderFemaleSole ProprietorYesEnumeration Date11/18/2020Last Updated8/8/2022Contact InformationPractice LocationPractice Address12510 109th Ct NE Apt E202, Kirkland, WA 98034-0810Phone(425) 736-9704FaxUnlisted FaxMailing LocationMailing Address12510 109th Ct NE Apt E202, Kirkland, WA 98034-0810Phone(425) 736-9704FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH61194196WashingtonCode221700000XDescriptionArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense002456New York