Individual ProviderJena LopezCounselorBehavioral Health & Social Service ProvidersPractice Address10521 Meridian Ave N, Seattle, WA 98133-9509(253) 833-7444PECOS EnrollmentBased on the most recent information from CMS, provider Jena Lopez 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 12 days ago.Profile DetailsProvider ID1124660220Provider TypeIndividualFull NameLopez, JenaGenderFemaleSole ProprietorNoEnumeration Date10/10/2019Last Updated10/10/2019Contact InformationPractice LocationPractice Address10521 Meridian Ave N, Seattle, WA 98133-9509Phone(253) 833-7444FaxUnlisted FaxMailing LocationMailing Address325 W Gowe St, Kent, WA 98032-5892Phone(253) 833-7444FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer