Individual ProviderJean ThomasCounselorBehavioral Health & Social Service ProvidersPractice Address173 Mount Auburn St, Watertown, MA 02472-4005(781) 454-8562PECOS EnrollmentBased on the most recent information from CMS, provider Jean Thomas 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 ID1790264968Provider TypeIndividualFull NameThomas, JeanCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date8/8/2018Last Updated9/21/2022Contact InformationPractice LocationPractice Address173 Mount Auburn St, Watertown, MA 02472-4005Phone(781) 454-8562FaxUnlisted FaxMailing LocationMailing Address173 Mount Auburn St, Watertown, MA 02472-4005Phone(781) 454-8562FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense12067MassachusettsCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer