Jessica Leigh Vandermerwe | Vancouver, WA • PECOS Search

Jessica Leigh Vandermerwe

Counselor

Behavioral Health & Social Service Providers

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

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica Leigh Vandermerwe 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 yesterday at 10:04 AM.

Profile Details

Provider ID
1578045142
Provider Type
Individual
Full Name
Vandermerwe, Jessica Leigh
Gender
Female

Sole Proprietor
No
Enumeration Date
8/30/2018
Last Updated
8/30/2018

Contact Information

Practice Location

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

Unlisted Fax

Mailing Location

PO Box 1845, Vancouver, WA 98668-1845

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer