Individual ProviderKalpana V SanmugamCounselorBehavioral Health & Social Service ProvidersPractice Address16715 Aurora Ave N, Shoreline, WA 98133-5310(206) 546-9766PECOS EnrollmentBased on the most recent information from CMS, provider Kalpana V Sanmugam 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 2 days ago.Profile DetailsProvider ID1871148882Provider TypeIndividualFull NameSanmugam, Kalpana VCredentialLACGenderFemaleSole ProprietorNoEnumeration Date8/6/2019Last Updated3/26/2020Contact InformationPractice LocationPractice Address16715 Aurora Ave N, Shoreline, WA 98133-5310Phone(206) 546-9766FaxUnlisted FaxMailing LocationMailing Address16715 Aurora Ave N, Shoreline, WA 98133-5310Phone(206) 546-9766FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMC61042060WashingtonCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1864North Dakota