Individual ProviderJacob Lee HammondCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713(360) 397-8246(360) 605-2453PECOS EnrollmentBased on the most recent information from CMS, provider Jacob Lee Hammond 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 yesterday at 10:04 AM.Profile DetailsProvider ID1003654765Provider TypeIndividualFull NameHammond, Jacob LeeCredentialCMHCGenderMaleSole ProprietorYesEnumeration Date7/17/2024Last Updated7/17/2024Contact InformationPractice LocationPractice Address1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713Phone(360) 397-8246FaxUnlisted FaxMailing LocationMailing Address16915 NE 40th Ave, Vancouver, WA 98686-1809Phone(360) 605-2453FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer