Kristan Walker | Roxbury, MA • PECOS Search

Kristan Walker

Counselor

Behavioral Health & Social Service Providers

62 Waverly St, Roxbury, MA 02119-2161

PECOS Enrollment

Based on the most recent information from CMS, provider Kristan Walker 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1952654451
Provider Type
Individual
Full Name
Walker, Kristan
Title
Miss

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/21/2012
Last Updated
10/21/2012

Contact Information

Practice Location

62 Waverly St, Roxbury, MA 02119-2161

Unlisted Fax

Mailing Location

62 Waverly St, Roxbury, MA 02119-2161

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer