Individual ProviderMichael Kent LaederichCounselorBehavioral Health & Social Service ProvidersPractice Address1201 S Proctor St, Tacoma, WA 98405-2047(253) 396-5860PECOS EnrollmentBased on the most recent information from CMS, provider Michael Kent Laederich 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 4 days ago.Profile DetailsProvider ID1740460567Provider TypeIndividualFull NameLaederich, Michael KentTitleDr.CredentialPHDGenderMaleSole ProprietorNoEnumeration Date11/8/2007Last Updated11/8/2007Contact InformationPractice LocationPractice Address1201 S Proctor St, Tacoma, WA 98405-2047Phone(253) 396-5860Fax(253) 759-7008Mailing LocationMailing Address1201 S Proctor St, Tacoma, WA 98405-2047Phone(253) 396-5860Fax(253) 759-7008Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00003832Washington