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Jenna Helene Shoen

Counselor

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as JENNA SHOEN.

Based on the most recent information from CMS, provider Jenna Helene Shoen is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1124341839
Provider Type
Individual
Full Name
Shoen, Jenna Helene
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/9/2010
Last Updated
11/18/2022

Contact Information

Practice Location

1233 Main Street, Holyoke, MA 01040

(413) 539-2480

(413) 539-2496

Mailing Location

1233 Main Street, Holyoke, MA 01040

(413) 539-2480

(413) 539-2496

Provider Taxonomies

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

Jenna Helene Shoen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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