Individual ProviderCraig ChurchCounselorBehavioral Health & Social Service ProvidersPractice Address10700 Meridian Ave N Ste G11, Seattle, WA 98133-9008(206) 302-2900(425) 231-5017PECOS EnrollmentBased on the most recent information from CMS, provider Craig Church does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 12 days ago.Profile DetailsProvider ID1821825787Provider TypeIndividualFull NameChurch, CraigTitleDr.GenderMaleSole ProprietorNoEnumeration Date9/16/2024Last Updated9/16/2024Contact InformationPractice LocationPractice Address10700 Meridian Ave N Ste G11, Seattle, WA 98133-9008Phone(206) 302-2900FaxUnlisted FaxMailing LocationMailing Address3501 107th Dr SE, Lake Stevens, WA 98258-5197Phone(425) 231-5017FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer