Individual ProviderJudith JindraCounselorBehavioral Health & Social Service ProvidersPractice Address12218 83rd Pl NE, Kirkland, WA 98034-5819(425) 213-0709PECOS EnrollmentBased on the most recent information from CMS, provider Judith Jindra 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 ID1912221243Provider TypeIndividualFull NameJindra, JudithCredentialMED, LMFTGenderFemaleSole ProprietorYesEnumeration Date3/15/2010Last Updated3/15/2010Contact InformationPractice LocationPractice Address12218 83rd Pl NE, Kirkland, WA 98034-5819Phone(425) 213-0709FaxUnlisted FaxMailing LocationMailing Address12218 83rd Pl NE, Kirkland, WA 98034-5819Phone(425) 213-0709FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLF 00000962Washington