Individual ProviderJose Alexis CisnerosCounselorBehavioral Health & Social Service ProvidersPractice Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968(509) 735-6446PECOS EnrollmentBased on the most recent information from CMS, provider Jose Alexis Cisneros 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 yesterday at 10:04 AM.Profile DetailsProvider ID1528793221Provider TypeIndividualFull NameCisneros, Jose AlexisGenderMaleSole ProprietorNoEnumeration Date7/18/2022Last Updated3/9/2023Contact InformationPractice LocationPractice Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968Phone(509) 735-6446FaxUnlisted FaxMailing LocationMailing Address3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968Phone(509) 735-6446FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer