Individual ProviderKarmen JacksonCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Boston, MA 02119-2769(469) 223-0602PECOS EnrollmentBased on the most recent information from CMS, provider Karmen Jackson 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 yesterday at 12:57 PM.Profile DetailsProvider ID1073144085Provider TypeIndividualFull NameJackson, KarmenGenderFemaleSole ProprietorYesEnumeration Date1/29/2020Last Updated1/29/2020Contact InformationPractice LocationPractice Address520 Dudley St, Boston, MA 02119-2769Phone(469) 223-0602FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Boston, MA 02119-2769Phone(469) 223-0602FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer