Individual ProviderKristen Taylor DansereauCounselorBehavioral Health & Social Service ProvidersPractice Address6 Sherborn Ct Apt 10, Medford, MA 02155-2683(860) 218-5747PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Taylor Dansereau 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 10:04 AM.Profile DetailsProvider ID1174394746Provider TypeIndividualFull NameDansereau, Kristen TaylorGenderFemaleSole ProprietorNoEnumeration Date1/12/2024Last Updated1/12/2024Contact InformationPractice LocationPractice Address6 Sherborn Ct Apt 10, Medford, MA 02155-2683Phone(860) 218-5747FaxUnlisted FaxMailing LocationMailing Address6 Sherborn Ct Apt 10, Medford, MA 02155-2683Phone(860) 218-5747FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer