Shenae Domonique Williams | Olympia, WA • PECOS Search

Shenae Domonique Williams

Counselor

Behavioral Health & Social Service Providers

3436 Mary Elder Rd NE, Olympia, WA 98506-5050

PECOS Enrollment

Based on the most recent information from CMS, provider Shenae Domonique Williams 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
1063051787
Provider Type
Individual
Full Name
Williams, Shenae Domonique
Gender
Female

Sole Proprietor
No
Enumeration Date
12/28/2019
Last Updated
12/28/2019

Contact Information

Practice Location

3436 Mary Elder Rd NE, Olympia, WA 98506-5050

Unlisted Fax

Mailing Location

3411 88th St S Apt 32, Lakewood, WA 98499-8921

Unlisted Fax

Provider Taxonomies

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