Individual ProviderJudy I FordCounselorBehavioral Health & Social Service ProvidersPractice Address11530 84th Ave NE, Kirkland, WA 98034-3552(425) 823-4421PECOS EnrollmentBased on the most recent information from CMS, provider Judy I Ford 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 ID1699829457Provider TypeIndividualFull NameFord, Judy IGenderFemaleSole ProprietorYesEnumeration Date1/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address11530 84th Ave NE, Kirkland, WA 98034-3552Phone(425) 823-4421Fax(425) 820-0149Mailing LocationMailing Address11530 84th Ave NE, Kirkland, WA 98034-3552Phone(425) 823-4421Fax(425) 820-0149Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLW00004505Washington