Individual ProviderAbigail Leigh CrickmoreCounselorBehavioral Health & Social Service ProvidersPractice Address13305 105th Ave NE, Kirkland, WA 98034-2041(425) 202-5852(425) 233-0352PECOS EnrollmentBased on the most recent information from CMS, provider Abigail Leigh Crickmore 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 ID1568034981Provider TypeIndividualFull NameCrickmore, Abigail LeighTitleMs.CredentialLMHCGenderFemaleSole ProprietorNoEnumeration Date7/14/2021Last Updated7/9/2024Contact InformationPractice LocationPractice Address13305 105th Ave NE, Kirkland, WA 98034-2041Phone(425) 202-5852FaxUnlisted FaxMailing LocationMailing AddressPO Box 312, Medina, WA 98039-0312Phone(425) 233-0352FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMC61104156Washington