Individual ProviderKayla GagnonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2001 H St, Bellingham, WA 98225-3226(360) 325-5243PECOS EnrollmentBased on the most recent information from CMS, provider Kayla Gagnon 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 ID1770329039Provider TypeIndividualFull NameGagnon, KaylaCredentialLSWAICGenderFemaleSole ProprietorNoEnumeration Date7/6/2024Last Updated7/6/2024Contact InformationPractice LocationPractice Address2001 H St, Bellingham, WA 98225-3226Phone(360) 325-5243FaxUnlisted FaxMailing LocationMailing Address359 Echo Ln, Sedro Woolley, WA 98284-9578PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense61512453Washington