Individual ProviderJuawana GrantCounselorBehavioral Health & Social Service ProvidersPractice Address1700 Airport Way S, Seattle, WA 98134-1618(206) 223-3644PECOS EnrollmentBased on the most recent information from CMS, provider Juawana Grant 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 ID1447729041Provider TypeIndividualFull NameGrant, JuawanaGenderFemaleSole ProprietorNoEnumeration Date11/13/2018Last Updated4/29/2019Contact InformationPractice LocationPractice Address1700 Airport Way S, Seattle, WA 98134-1618Phone(206) 223-3644FaxUnlisted FaxMailing LocationMailing Address1700 Airport Way S, Seattle, WA 98134-1618Phone(206) 223-3644FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer