Individual ProviderLeomary VasquezCounselorBehavioral Health & Social Service ProvidersPractice Address200 Sutton St Ste 120, North Andover, MA 01845-1651(774) 206-1125(978) 912-2268PECOS EnrollmentBased on the most recent information from CMS, provider Leomary Vasquez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1699965285Provider TypeIndividualFull NameVasquez, LeomaryTitleMrs.CredentialM.EDGenderFemaleSole ProprietorNoEnumeration Date7/30/2007Last Updated11/1/2024Contact InformationPractice LocationPractice Address200 Sutton St Ste 120, North Andover, MA 01845-1651Phone(774) 206-1125FaxUnlisted FaxMailing LocationMailing Address58 S Elm St, Bradford, MA 01835-7318Phone(978) 912-2268FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLMHC10000037MassachusettsProvider IdentifiersIDDescriptionIssuerID042777145DescriptionMedicaidIssuerUnlistedMassachusetts