Individual ProviderCharles G. HoarCounselorBehavioral Health & Social Service ProvidersPractice Address26 City Hall Mall, Medford, MA 02155-4754(781) 306-5463(617) 559-8051PECOS EnrollmentBased on the most recent information from CMS, provider Charles G. Hoar 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 ID1821043738Provider TypeIndividualFull NameHoar, Charles G.CredentialLMHCGenderMaleSole ProprietorNoEnumeration Date5/23/2006Last Updated4/10/2009Contact InformationPractice LocationPractice Address26 City Hall Mall, Medford, MA 02155-4754Phone(781) 306-5463FaxUnlisted FaxMailing LocationMailing Address147 Milk St, Provider Enrollment 9th Floor, Boston, MA 02109-4806Phone(617) 559-8051FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1667MassachusettsProvider IdentifiersIDDescriptionIssuerID669496DescriptionOtherIssuerTUFTS HEALTH PLANMassachusettsIDLM0734DescriptionOtherIssuerBLUE CROSSMassachusetts