Individual ProviderBryan WarrenCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717(360) 690-0005PECOS EnrollmentBased on the most recent information from CMS, provider Bryan Warren 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 ID1144744509Provider TypeIndividualFull NameWarren, BryanGenderMaleSole ProprietorNoEnumeration Date7/27/2017Last Updated7/27/2017Contact InformationPractice LocationPractice Address1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717Phone(360) 690-0005FaxUnlisted FaxMailing LocationMailing Address2612 NW 12th St, Battle Ground, WA 98604-3255Phone(360) 690-0005FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerWashington