Individual ProviderColleen Lou WorrellCounselorBehavioral Health & Social Service ProvidersPractice Address500 Washington St, The Dalles, OR 97058-2217(541) 993-2789PECOS EnrollmentBased on the most recent information from CMS, provider Colleen Lou Worrell 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 ID1609247733Provider TypeIndividualFull NameWorrell, Colleen LouTitleMs.CredentialM.A.GenderFemaleSole ProprietorYesEnumeration Date10/15/2015Last Updated10/15/2015Contact InformationPractice LocationPractice Address500 Washington St, The Dalles, OR 97058-2217Phone(541) 993-2789FaxUnlisted FaxMailing LocationMailing Address500 Washington St, The Dalles, OR 97058-2217Phone(541) 993-2789FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR2800Oregon