Individual ProviderAngelina RenesCounselorBehavioral Health & Social Service ProvidersPractice Address1204 4th Ave E, Suite 1, Olympia, WA 98506-4277(360) 951-2691PECOS EnrollmentBased on the most recent information from CMS, provider Angelina Renes 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 ID1952533291Provider TypeIndividualFull NameRenes, AngelinaTitleMs.CredentialMAGenderFemaleSole ProprietorYesEnumeration Date8/20/2009Last Updated8/20/2009Contact InformationPractice LocationPractice Address1204 4th Ave E, Suite 1, Olympia, WA 98506-4277Phone(360) 951-2691FaxUnlisted FaxMailing LocationMailing Address1201 9th Ave SW, Olympia, WA 98502-5424Phone(360) 951-2691FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer