Individual ProviderAjaycia JacksonCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(978) 653-0334PECOS EnrollmentBased on the most recent information from CMS, provider Ajaycia Jackson 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 yesterday at 12:57 PM.Profile DetailsProvider ID1811624778Provider TypeIndividualFull NameJackson, AjayciaGenderFemaleSole ProprietorYesEnumeration Date8/2/2022Last Updated8/2/2022Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(978) 653-0334FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer