Marisa Glynn Kouroyen | North Andover, MA • PECOS Search

Marisa Glynn Kouroyen

Counselor

Behavioral Health & Social Service Providers

853 Turnpike St Ste 241, North Andover, MA 01845-6172

PECOS Enrollment

Based on the most recent information from CMS, provider Marisa Glynn Kouroyen 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 today at 11:47 AM.

Profile Details

Provider ID
1497230684
Provider Type
Individual
Full Name
Kouroyen, Marisa Glynn
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/3/2018
Last Updated
4/5/2022

Contact Information

Practice Location

853 Turnpike St Ste 241, North Andover, MA 01845-6172

Unlisted Fax

Mailing Location

35 Edgar Ave, Somerville, MA 02145-1450

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 13021-MH-CC Massachusetts