Alesha Marie Boulton | Kennewick, WA • PECOS Search

Alesha Marie Boulton

Counselor

Behavioral Health & Social Service Providers

500 N Morain St Ste 1250, Kennewick, WA 99336-2967

PECOS Enrollment

Based on the most recent information from CMS, provider Alesha Marie Boulton 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 yesterday at 10:04 AM.

Profile Details

Provider ID
1083136097
Provider Type
Individual
Full Name
Boulton, Alesha Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
7/11/2017
Last Updated
7/11/2017

Contact Information

Practice Location

500 N Morain St Ste 1250, Kennewick, WA 99336-2967

Unlisted Fax

Mailing Location

500 N Morain St Ste 1250, Kennewick, WA 99336-2967

Unlisted Fax

Provider Taxonomies

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