Individual ProviderKristi Lynn WendellCounselorBehavioral Health & Social Service ProvidersPractice Address1014 Main Street, Vancouver, WA 98661(360) 695-1014PECOS EnrollmentBased on the most recent information from CMS, provider Kristi Lynn Wendell 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 ID1073630679Provider TypeIndividualFull NameWendell, Kristi LynnTitleMrs.CredentialBAGenderFemaleSole ProprietorYesEnumeration Date3/26/2007Last Updated4/26/2023Contact InformationPractice LocationPractice Address1014 Main Street, Vancouver, WA 98661Phone(360) 695-1014Fax(360) 750-1374Mailing LocationMailing Address3200 NE 109th Ave, Vancouver, WA 98682-7749Phone(360) 695-1014Fax(360) 750-1374Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCG60154927Washington