Individual ProviderAlfred PadillaCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717(360) 397-8198PECOS EnrollmentBased on the most recent information from CMS, provider Alfred Padilla 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 ID1336611177Provider TypeIndividualFull NamePadilla, AlfredCredentialMA, DCR, AACGenderMaleSole ProprietorNoEnumeration Date12/18/2018Last Updated12/18/2018Contact InformationPractice LocationPractice Address1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717Phone(360) 397-8198FaxUnlisted FaxMailing LocationMailing AddressPO Box 5000, Vancouver, WA 98666-5000Phone(360) 397-8198FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCG60211393Washington