Individual ProviderKristen Anne HackneyCounselorBehavioral Health & Social Service ProvidersPractice Address24 Whites Ave, Apt #63, Watertown, MA 02472-4314(203) 915-8599(617) 769-7210PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Anne Hackney 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 ID1073698395Provider TypeIndividualFull NameHackney, Kristen AnneCredentialMAGenderFemaleSole ProprietorNoEnumeration Date10/26/2006Last Updated3/24/2008Contact InformationPractice LocationPractice Address24 Whites Ave, Apt #63, Watertown, MA 02472-4314Phone(203) 915-8599FaxUnlisted FaxMailing LocationMailing Address24 Whites Ave, Apt #63, Watertown, MA 02472-4314Phone(617) 769-7210FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense6385MassachusettsCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer