Meredith Lin Mcmackin | Vancouver, WA • PECOS Search

Meredith Lin Mcmackin

Counselor

Behavioral Health & Social Service Providers

1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713

PECOS Enrollment

Based on the most recent information from CMS, provider Meredith Lin Mcmackin 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 yesterday at 10:04 AM.

Profile Details

Provider ID
1992218945
Provider Type
Individual
Full Name
Mcmackin, Meredith Lin
Title
Dr.
Credential
PH.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/13/2017
Last Updated
6/16/2018

Contact Information

Practice Location

1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713

Unlisted Fax

Mailing Location

PO Box 1678, Vancouver, WA 98668-1678

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer