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Dustin Shatto

Counselor

Behavioral Health & Social Service Providers

11415 NE 128th St Ste 100, Kirkland, WA 98034-6314

PECOS Enrollment

Based on the most recent information from CMS, provider Dustin Shatto 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
1659011195
Provider Type
Individual
Full Name
Shatto, Dustin
Gender
Male

Sole Proprietor
No
Enumeration Date
3/31/2022
Last Updated
1/24/2025

Contact Information

Practice Location

11415 NE 128th St Ste 100, Kirkland, WA 98034-6314

(425) 243-3031

Unlisted Fax

Mailing Location

11415 NE 128th St Ste 100, Kirkland, WA 98034-6314

(425) 243-3031

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 61418879 Washington
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License 61418879
Code 101YP2500X	Description Counselor Behavioral Health & Social Service Providers	License 61418879

Dustin Shatto

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Gonzalez, Winter

Hade, Gayland

Jindra, Judith

Russell, Christine

Hasse, Lisa Marie Hoffman

Garvey, Leeanne

Gangwish, Allison

Mar, Kaysee

Nankana, Rashida

Matvieieva, Yuliia