Alyssa Long | Olympia, WA • PECOS Search

Alyssa Long

Counselor

Behavioral Health & Social Service Providers

3857 Martin Way E, Olympia, WA 98506-5268

PECOS Enrollment

Based on the most recent information from CMS, provider Alyssa Long 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
1003648031
Provider Type
Individual
Full Name
Long, Alyssa
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/19/2024
Last Updated
8/19/2024

Contact Information

Practice Location

3857 Martin Way E, Olympia, WA 98506-5268

Unlisted Fax

Mailing Location

3857 Martin Way E, Olympia, WA 98506-5268

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer