Individual ProviderCassandra Marie NicholsCounselorBehavioral Health & Social Service ProvidersPractice Address1601 E 4th Blvd, Vancouver, WA 98661(360) 397-8246PECOS EnrollmentBased on the most recent information from CMS, provider Cassandra Marie Nichols 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 ID1558825729Provider TypeIndividualFull NameNichols, Cassandra MarieGenderFemaleSole ProprietorNoEnumeration Date1/22/2019Last Updated1/22/2019Contact InformationPractice LocationPractice Address1601 E 4th Blvd, Vancouver, WA 98661Phone(360) 397-8246FaxUnlisted FaxMailing LocationMailing Address1601 E 4th Blvd, Vancouver, WA 98661Phone(360) 397-8246FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer