Theresa Renee Albert-Dejesus | Roxbury, MA • PECOS Search

Theresa Renee Albert-Dejesus

Counselor

Behavioral Health & Social Service Providers

214a Highland St, Roxbury, MA 02119-1444

PECOS Enrollment

Based on the most recent information from CMS, provider Theresa Renee Albert-Dejesus 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 12:57 PM.

Profile Details

Provider ID
1003131780
Provider Type
Individual
Full Name
Albert-Dejesus, Theresa Renee
Gender
Female

Sole Proprietor
No
Enumeration Date
4/6/2010
Last Updated
4/6/2010

Contact Information

Practice Location

214a Highland St, Roxbury, MA 02119-1444

(617) 541-0454

Mailing Location

214a Highland St, Roxbury, MA 02119-1444

(617) 541-0454

Provider Taxonomies

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