Individual provider · Type 1 NPI

Jerry Short

Mental Health Counselor · Dorchester, MA

NPI number 1023348786 Active

Practice location

40 Crestwood Park
Dorchester, MA 02121-1106

Call (617) 312-9564 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1023348786

Jerry Short's National Provider Identifier is 1023348786, issued on Dec 31, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dorchester, MA. The record was last updated on Dec 31, 2009.