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Madison Anderson

Counselor

Behavioral Health & Social Service Providers

10700 Meridian Ave N Ste G11, Seattle, WA 98133-9008

(206) 901-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Madison Anderson 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 12 days ago.

Profile Details

Provider ID
1700555653
Provider Type
Individual
Full Name
Anderson, Madison
Gender
Female

Sole Proprietor
No
Enumeration Date
9/13/2021
Last Updated
9/26/2022

Contact Information

Practice Location

10700 Meridian Ave N Ste G11, Seattle, WA 98133-9008

(206) 901-2000

Unlisted Fax

Mailing Location

6400 Southcenter Blvd, Tukwila, WA 98188-2547

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Madison Anderson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Fohn, Richelle Johanna

Dahl, Sanna

King, Cristin Grada

Collins, Clare

Riley, Katherine Dillon

Galindo, Floriberto

Jones, Jeremy Levert

Bass, Zoey

Recker, Michaela L

Powell Rachid, Kathryn