Nicholas Weidell | Kirkland, WA • PECOS Search

Nicholas Weidell

Counselor

Behavioral Health & Social Service Providers

13128 Totem Lake Blvd NE Ste 104, Kirkland, WA 98034-2953

(425) 202-7748 (218) 251-3708

PECOS Enrollment

Based on the most recent information from CMS, provider Nicholas Weidell 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
1942987912
Provider Type
Individual
Full Name
Weidell, Nicholas
Gender
Male

Sole Proprietor
No
Enumeration Date
6/30/2023
Last Updated
6/30/2023

Contact Information

Practice Location

13128 Totem Lake Blvd NE Ste 104, Kirkland, WA 98034-2953

(425) 903-3957

Mailing Location

10018 NE 127th Pl Apt B206, Kirkland, WA 98034-8806

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer