Individual ProviderKrista MillerCounselorBehavioral Health & Social Service ProvidersPractice Address11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933(509) 288-4929PECOS EnrollmentBased on the most recent information from CMS, provider Krista Miller 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 ID1497273924Provider TypeIndividualFull NameMiller, KristaGenderFemaleSole ProprietorNoEnumeration Date9/5/2017Last Updated6/9/2022Contact InformationPractice LocationPractice Address11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933Phone(509) 288-4929FaxUnlisted FaxMailing LocationMailing Address11335 NE 122nd Way Ste 105, Kirkland, WA 98034-6933Phone(509) 288-4929FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH61037368Washington