Jacqueline Salcedo De Diaz | Roxbury, MA • PECOS Search

Jacqueline Salcedo De Diaz

Counselor

Behavioral Health & Social Service Providers

520 Dudley St, Roxbury, MA 02119-2769

(617) 445-6655 (857) 233-1999

PECOS Enrollment

Based on the most recent information from CMS, provider Jacqueline Salcedo De Diaz 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
1114342995
Provider Type
Individual
Full Name
Salcedo De Diaz, Jacqueline
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/3/2014
Last Updated
3/3/2014

Contact Information

Practice Location

520 Dudley St, Roxbury, MA 02119-2769

Unlisted Fax

Mailing Location

29 Woodglen Rd, Hyde Park, MA 02136-3322

Unlisted Fax

Provider Taxonomies

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