Individual ProviderCollin HullumCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(617) 445-6656PECOS EnrollmentBased on the most recent information from CMS, provider Collin Hullum 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 ID1194523597Provider TypeIndividualFull NameHullum, CollinTitleMr.GenderMaleSole ProprietorYesEnumeration Date3/3/2025Last Updated3/3/2025Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 445-6656FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 445-6656FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer