Justina M Harris-Mccray | Kennewick, WA • PECOS Search

Justina M Harris-Mccray

Counselor

Behavioral Health & Social Service Providers

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

PECOS Enrollment

Based on the most recent information from CMS, provider Justina M Harris-Mccray 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 today at 10:04 AM.

Profile Details

Provider ID
1750977203
Provider Type
Individual
Full Name
Harris-Mccray, Justina M
Credential
AAC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/18/2020
Last Updated
12/18/2020

Contact Information

Practice Location

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

Unlisted Fax

Mailing Location

3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968

Unlisted Fax

Provider Taxonomies

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