Individual ProviderTheresa Dolle FeldhausenCounselorBehavioral Health & Social Service ProvidersPractice Address406 Lilly Rd NE, Suite D, Olympia, WA 98506-5118(360) 456-5546(360) 456-5892PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Dolle Feldhausen 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 2 days ago.Profile DetailsProvider ID1366408437Provider TypeIndividualFull NameFeldhausen, Theresa DolleTitleMrs.CredentialMSGenderFemaleEnumeration Date4/26/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address406 Lilly Rd NE, Suite D, Olympia, WA 98506-5118Phone(360) 456-5546FaxUnlisted FaxMailing LocationMailing Address406 Lilly Rd NE, Suite D, Olympia, WA 98506-5118Phone(360) 456-5892FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLH00004137Washington