Kiera Rose Desgres | Roxbury, MA • PECOS Search

Kiera Rose Desgres

Counselor

Behavioral Health & Social Service Providers

504 Dudley St, Roxbury, MA 02119-2732

PECOS Enrollment

Based on the most recent information from CMS, provider Kiera Rose Desgres 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
1508743006
Provider Type
Individual
Full Name
Desgres, Kiera Rose
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/18/2025
Last Updated
8/18/2025

Contact Information

Practice Location

504 Dudley St, Roxbury, MA 02119-2732

Unlisted Fax

Mailing Location

504 Dudley St, Roxbury, MA 02119-2732

Unlisted Fax

Provider Taxonomies

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