Jessi Lida Mckeown | Kennewick, WA • PECOS Search

Jessi Lida Mckeown

Counselor

Behavioral Health & Social Service Providers

3321 W Kennewick Ave Ste 130, Kennewick, WA 99336-2957

PECOS Enrollment

Based on the most recent information from CMS, provider Jessi Lida Mckeown 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
1104468354
Provider Type
Individual
Full Name
Mckeown, Jessi Lida
Gender
Female

Sole Proprietor
No
Enumeration Date
10/9/2019
Last Updated
10/9/2019

Contact Information

Practice Location

3321 W Kennewick Ave Ste 130, Kennewick, WA 99336-2957

Unlisted Fax

Mailing Location

3321 W Kennewick Ave Ste 130, Kennewick, WA 99336-2957

Unlisted Fax

Provider Taxonomies

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