Kita Marie Frick-Shipley | Seattle, WA • PECOS Search

Kita Marie Frick-Shipley

Counselor

Behavioral Health & Social Service Providers

1700 Airport Way S, Seattle, WA 98134-1618

(206) 223-3644 (765) 228-9165

PECOS Enrollment

Based on the most recent information from CMS, provider Kita Marie Frick-Shipley 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 10:41 AM.

Profile Details

Provider ID
1639785827
Provider Type
Individual
Full Name
Frick-Shipley, Kita Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
9/22/2020
Last Updated
9/22/2020

Contact Information

Practice Location

1700 Airport Way S, Seattle, WA 98134-1618

Unlisted Fax

Mailing Location

5202 Woodlawn Ave N, Seattle, WA 98103-6154

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer