Individual ProviderKrystyna KsiazekCounselorBehavioral Health & Social Service ProvidersPractice Address151 Mystic Ave, Medford, MA 02155-4632(781) 396-1199(413) 222-6026PECOS EnrollmentBased on the most recent information from CMS, provider Krystyna Ksiazek 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 ID1659487155Provider TypeIndividualFull NameKsiazek, KrystynaTitleMs.CredentialL.M.H.CGenderFemaleSole ProprietorNoEnumeration Date8/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address151 Mystic Ave, Medford, MA 02155-4632Phone(781) 396-1199Fax(781) 396-1439Mailing LocationMailing Address660 James St, Chicopee, MA 01020-3936Phone(413) 222-6026FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense4575Massachusetts