Marisa Anderson | Watertown, MA • PECOS Search

Marisa Anderson

Counselor

Behavioral Health & Social Service Providers

917 Belmont St, Watertown, MA 02472-1067

PECOS Enrollment

Based on the most recent information from CMS, provider Marisa Anderson 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
1669653531
Provider Type
Individual
Full Name
Anderson, Marisa
Title
Mrs.
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/20/2007
Last Updated
8/14/2013

Contact Information

Practice Location

917 Belmont St, Watertown, MA 02472-1067

Unlisted Fax

Mailing Location

917 Belmont St, Watertown, MA 02472-1067

Unlisted Fax

Provider Taxonomies

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