Individual ProviderTammy Marie FergusonCounselorBehavioral Health & Social Service ProvidersPractice Address13115 121st Way NE, Suite C, Kirkland, WA 98034-3051(425) 821-1800PECOS EnrollmentBased on the most recent information from CMS, provider Tammy Marie Ferguson 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 ID1629148028Provider TypeIndividualFull NameFerguson, Tammy MarieCredentialLMHC,CPTGenderFemaleSole ProprietorYesEnumeration Date11/9/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address13115 121st Way NE, Suite C, Kirkland, WA 98034-3051Phone(425) 821-1800Fax(425) 821-1818Mailing LocationMailing Address13115 121st Way NE, Suite C, Kirkland, WA 98034-3051Phone(425) 821-1800Fax(425) 821-1818Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00008589Washington