Kayla Jean Potts | Olympia, WA • PECOS Search

Kayla Jean Potts

Counselor

Behavioral Health & Social Service Providers

3775b Martin Way E, Olympia, WA 98506-5062

PECOS Enrollment

Based on the most recent information from CMS, provider Kayla Jean Potts 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
1952077588
Provider Type
Individual
Full Name
Potts, Kayla Jean
Gender
Female

Sole Proprietor
No
Enumeration Date
8/23/2021
Last Updated
8/23/2021

Contact Information

Practice Location

3775b Martin Way E, Olympia, WA 98506-5062

Unlisted Fax

Mailing Location

3857 Martin Way E, Olympia, WA 98506-5268

Unlisted Fax

Provider Taxonomies

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