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Brenna Lynn Fear

Counselor

Behavioral Health & Social Service Providers

12029 113th Ave NE, Kirkland, WA 98034-6901

PECOS Enrollment

Based on the most recent information from CMS, provider Brenna Lynn Fear 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
1881182095
Provider Type
Individual
Full Name
Fear, Brenna Lynn
Credential
LPCC

Gender
Female
Sole Proprietor
No
Enumeration Date
4/24/2018
Last Updated
8/20/2023

Contact Information

Practice Location

12029 113th Ave NE, Kirkland, WA 98034-6901

(949) 227-0700

Unlisted Fax

Mailing Location

1144 Holgate Ave, Maumee, OH 43537-2907

(419) 340-5090

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License LH61261503 Washington
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License E.2001856 Ohio
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License LPC-20465 Arizona

Brenna Lynn Fear

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Gangwish, Allison

Koss, Heidi Beth

Bulut, Tugba

Rainwater, Jim Ray

Falabregues, Anne

Mckenzie, Tiffany S

Koger, Michele Myers

Griffith, Corbi

Wood, Erin

Dutra, France