Autumn Lee | Seattle, WA • PECOS Search

Autumn Lee

Counselor

Behavioral Health & Social Service Providers

929 N 130th St Ste 3, Seattle, WA 98133-7500

PECOS Enrollment

Based on the most recent information from CMS, provider Autumn Lee 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 11 days ago.

Profile Details

Provider ID
1427713775
Provider Type
Individual
Full Name
Lee, Autumn
Gender
Female

Sole Proprietor
No
Enumeration Date
11/2/2021
Last Updated
11/2/2021

Contact Information

Practice Location

929 N 130th St Ste 3, Seattle, WA 98133-7500

Unlisted Fax

Mailing Location

325 W Gowe St, Kent, WA 98032-5892

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer