Individual ProviderLoretta Kosi OkekeCounselorBehavioral Health & Social Service ProvidersPractice Address6101 NE 60th Ave, Vancouver, WA 98661-2281(757) 672-5921PECOS EnrollmentBased on the most recent information from CMS, provider Loretta Kosi Okeke 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 ID1245822089Provider TypeIndividualFull NameOkeke, Loretta KosiGenderFemaleSole ProprietorNoEnumeration Date2/3/2021Last Updated2/3/2021Contact InformationPractice LocationPractice Address6101 NE 60th Ave, Vancouver, WA 98661-2281Phone(757) 672-5921FaxUnlisted FaxMailing LocationMailing Address6101 NE 60th Ave, Vancouver, WA 98661-2281Phone(757) 672-5921FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseA12088Oregon