Phara Jean Denis | Roxbury, MA • PECOS Search

Phara Jean Denis

Counselor

Behavioral Health & Social Service Providers

504 Dudley St, Roxbury, MA 02119-2732

(617) 445-6655 (617) 319-2021

PECOS Enrollment

Based on the most recent information from CMS, provider Phara Jean Denis 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
1053761973
Provider Type
Individual
Full Name
Jean Denis, Phara
Gender
Female

Sole Proprietor
No
Enumeration Date
6/22/2016
Last Updated
6/22/2016

Contact Information

Practice Location

504 Dudley St, Roxbury, MA 02119-2732

Unlisted Fax

Mailing Location

39 William St, Cambridge, MA 02139-3833

Unlisted Fax

Provider Taxonomies

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