Dan Leo Minkel | Vancouver, WA • PECOS Search

Dan Leo Minkel

Counselor

Behavioral Health & Social Service Providers

1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717

PECOS Enrollment

Based on the most recent information from CMS, provider Dan Leo Minkel 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 today at 10:04 AM.

Profile Details

Provider ID
1477025062
Provider Type
Individual
Full Name
Minkel, Dan Leo
Title
Dr.
Credential
PSY. D DCR

Gender
Male
Sole Proprietor
No
Enumeration Date
12/20/2018
Last Updated
12/20/2018

Contact Information

Practice Location

1601 E 4th Plain Blvd Bldg 17, Vancouver, WA 98661-3717

Unlisted Fax

Mailing Location

PO Box 5000, Vancouver, WA 98666-5000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CG60865635 Washington