Individual ProviderKathkeen Alicia DiamondCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713(360) 397-8246(360) 371-8246PECOS EnrollmentBased on the most recent information from CMS, provider Kathkeen Alicia Diamond 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 ID1023539384Provider TypeIndividualFull NameDiamond, Kathkeen AliciaCredentialPH.D.GenderFemaleSole ProprietorNoEnumeration Date6/27/2017Last Updated6/27/2017Contact InformationPractice LocationPractice Address1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713Phone(360) 397-8246Fax(360) 397-8250Mailing LocationMailing Address1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713Phone(360) 371-8246Fax(360) 397-8250Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer