Madeline Jackson Lee | Watertown, MA • PECOS Search

Madeline Jackson Lee

Counselor

Behavioral Health & Social Service Providers

124 Watertown St Ste 3d, Watertown, MA 02472-2500

PECOS Enrollment

Based on the most recent information from CMS, provider Madeline Jackson Lee 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 2 days ago.

Profile Details

Provider ID
1417685405
Provider Type
Individual
Full Name
Lee, Madeline Jackson
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/9/2022
Last Updated
8/9/2022

Contact Information

Practice Location

124 Watertown St Ste 3d, Watertown, MA 02472-2500

Unlisted Fax

Mailing Location

124 Watertown St Ste 3d, Watertown, MA 02472-2500

Unlisted Fax

Provider Taxonomies

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