Mitchell Kossak | Watertown, MA • PECOS Search

Mitchell Kossak

Counselor

Behavioral Health & Social Service Providers

22 Mount Auburn St, Watertown, MA 02472-3992

PECOS Enrollment

Based on the most recent information from CMS, provider Mitchell Kossak 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
1598971160
Provider Type
Individual
Full Name
Kossak, Mitchell
Credential
LMHC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/14/2007
Last Updated
7/8/2007

Contact Information

Practice Location

22 Mount Auburn St, Watertown, MA 02472-3992

Unlisted Fax

Mailing Location

22 Mount Auburn St, Watertown, MA 02472-3992

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 573 Massachusetts