Individual ProviderEarlee Wanda WashingtonMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address2049 Mcclung Drive, Los Angeles, CA 90008(323) 299-4892(323) 293-6448PECOS EnrollmentBased on the most recent information from CMS, provider Earlee Wanda Washington 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 ID1396944146Provider TypeIndividualFull NameWashington, Earlee WandaTitleMrs.CredentialMASTER OF ARTS (MA)GenderFemaleSole ProprietorYesEnumeration Date7/12/2007Last Updated2/4/2021Contact InformationPractice LocationPractice Address2049 Mcclung Drive, Los Angeles, CA 90008Phone(323) 299-4892FaxUnlisted FaxMailing LocationMailing Address2009 W Martin Luther King Jr Blvd, Los Angeles, CA 90062-1434Phone(323) 293-6448Fax(323) 293-6605Provider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense112643CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense47435California