France Dutra | Kirkland, WA • PECOS Search

France Dutra

Counselor

Behavioral Health & Social Service Providers

13303 79th Pl NE, Kirkland, WA 98034-5115

PECOS Enrollment

Based on the most recent information from CMS, provider France Dutra 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
1548666100
Provider Type
Individual
Full Name
Dutra, France
Credential
MC 60505021

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/10/2014
Last Updated
11/10/2014

Contact Information

Practice Location

13303 79th Pl NE, Kirkland, WA 98034-5115

Unlisted Fax

Mailing Location

13303 79th Pl NE, Kirkland, WA 98034-5115

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MC60505021 Washington