Teresa A Rae | Roxbury, MA • PECOS Search

Teresa A Rae

Counselor

Behavioral Health & Social Service Providers

45 Dimock St, Roxbury, MA 02119-1208

(617) 442-8800 (617) 442-7400

PECOS Enrollment

Based on the most recent information from CMS, provider Teresa A Rae 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
1841302585
Provider Type
Individual
Full Name
Rae, Teresa A
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/31/2006
Last Updated
1/14/2020

Contact Information

Practice Location

45 Dimock St, Roxbury, MA 02119-1208

(617) 442-4088

Mailing Location

435 Warren St, Roxbury, MA 02119-1833

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 5801 Massachusetts