Shanelle M Berry | Olympia, WA • PECOS Search

Shanelle M Berry

Counselor

Behavioral Health & Social Service Providers

711 State Ave NE, Olympia, WA 98506-3984

PECOS Enrollment

Based on the most recent information from CMS, provider Shanelle M Berry 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 2 days ago.

Profile Details

Provider ID
1801366182
Provider Type
Individual
Full Name
Berry, Shanelle M
Credential
AAC, CPC

Gender
Female
Sole Proprietor
No
Enumeration Date
11/29/2018
Last Updated
11/29/2018

Contact Information

Practice Location

711 State Ave NE, Olympia, WA 98506-3984

Unlisted Fax

Mailing Location

711 State Ave NE, Olympia, WA 98506-3984

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License CG60855920 Washington