Raoul Robert | Roxbury, MA • PECOS Search

Raoul Robert

Counselor

Behavioral Health & Social Service Providers

1705 Columbus Ave, Roxbury, MA 02119-1039

PECOS Enrollment

Based on the most recent information from CMS, provider Raoul Robert 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
1871742874
Provider Type
Individual
Full Name
Robert, Raoul
Credential
M.A

Gender
Male
Sole Proprietor
No
Enumeration Date
9/15/2008
Last Updated
9/15/2008

Contact Information

Practice Location

1705 Columbus Ave, Roxbury, MA 02119-1039

Unlisted Fax

Mailing Location

1705 Columbus Ave, Roxbury, MA 02119-1039

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer