Yakita Trenissia Gibrano | Seattle, WA • PECOS Search

Yakita Trenissia Gibrano

Counselor

Behavioral Health & Social Service Providers

Evergreen Treatment Services, 1700 Airport Way S, Seattle, WA 98134-1618

(206) 223-3644 (206) 293-0661

PECOS Enrollment

Based on the most recent information from CMS, provider Yakita Trenissia Gibrano 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 10:41 AM.

Profile Details

Provider ID
1285250449
Provider Type
Individual
Full Name
Gibrano, Yakita Trenissia
Title
Miss

Gender
Female
Sole Proprietor
No
Enumeration Date
6/23/2020
Last Updated
6/23/2020

Contact Information

Practice Location

Evergreen Treatment Services, 1700 Airport Way S, Seattle, WA 98134-1618

Unlisted Fax

Mailing Location

14300 SE 171st Way Apt T4, Renton, WA 98058-8741

Unlisted Fax

Provider Taxonomies

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