Monique Renee Jordan | Tacoma, WA • PECOS Search

Monique Renee Jordan

Counselor

Behavioral Health & Social Service Providers

1554 S Grant Ave, Tacoma, WA 98405-3250

PECOS Enrollment

Based on the most recent information from CMS, provider Monique Renee Jordan 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 4 days ago.

Profile Details

Provider ID
1831602598
Provider Type
Individual
Full Name
Jordan, Monique Renee
Title
Mrs.
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/15/2017
Last Updated
11/15/2017

Contact Information

Practice Location

1554 S Grant Ave, Tacoma, WA 98405-3250

(888) 748-2797

Mailing Location

2615 19th Street Pl SW, Puyallup, WA 98373-3953

(888) 748-2797

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LH60806253 Washington