Individual ProviderKimberly GendronCounselorBehavioral Health & Social Service ProvidersPractice Address84 High St, Suite 8, Medford, MA 02155-3844(603) 434-1577(978) 697-5733PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Gendron 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 ID1962660571Provider TypeIndividualFull NameGendron, KimberlyCredentialLMHCGenderFemaleSole ProprietorYesEnumeration Date5/30/2008Last Updated2/24/2015Contact InformationPractice LocationPractice Address84 High St, Suite 8, Medford, MA 02155-3844Phone(603) 434-1577FaxUnlisted FaxMailing LocationMailing Address84 High St, Suite 8, Medford, MA 02155-3844Phone(978) 697-5733FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer