James Gibson | Olympia, WA • PECOS Search

James Gibson

Counselor

Behavioral Health & Social Service Providers

3775 Martin Way E # B, Olympia, WA 98506-5007

PECOS Enrollment

Based on the most recent information from CMS, provider James Gibson 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 2 days ago.

Profile Details

Provider ID
1316476039
Provider Type
Individual
Full Name
Gibson, James
Gender
Male

Sole Proprietor
No
Enumeration Date
6/6/2017
Last Updated
6/6/2017

Contact Information

Practice Location

3775 Martin Way E # B, Olympia, WA 98506-5007

Unlisted Fax

Mailing Location

3775 Martin Way E # B, Olympia, WA 98506-5007

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License 60744848 Washington