Individual ProviderHilary GrahamCounselorBehavioral Health & Social Service ProvidersPractice Address23 Main St, Watertown, MA 02472-4403(617) 680-0582PECOS EnrollmentBased on the most recent information from CMS, provider Hilary Graham 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 2 days ago.Profile DetailsProvider ID1700912037Provider TypeIndividualFull NameGraham, HilaryCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date2/23/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address23 Main St, Watertown, MA 02472-4403Phone(617) 680-0582FaxUnlisted FaxMailing LocationMailing Address23 Main St, Watertown, MA 02472-4403Phone(617) 680-0582FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense4782MassachusettsProvider IdentifiersIDDescriptionIssuerIDLM 1154DescriptionOtherIssuerBCBS PROVIDER NUMBERMassachusettsID4782DescriptionOtherIssuerLMHC LICENSE #Massachusetts