Individual ProviderMichelle FenrickCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717(360) 397-8246(503) 805-2325PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Fenrick 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 ID1295431336Provider TypeIndividualFull NameFenrick, MichelleSole ProprietorYesEnumeration Date1/31/2023Last Updated7/25/2024Contact InformationPractice LocationPractice Address1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717Phone(360) 397-8246FaxUnlisted FaxMailing LocationMailing Address4548 N Michigan Ave, Portland, OR 97217-3123Phone(503) 805-2325FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer