Individual provider · Type 1 NPI

Jeremy Travis Provost

Counselor · Plymouth, MA

NPI number 1659635183 Active

Practice location

900 Ship Pond Road
Plymouth, MA 02360

Call (617) 686-7901 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1659635183

Jeremy Travis Provost's National Provider Identifier is 1659635183, issued on Jun 29, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Plymouth, MA. The record was last updated on Jun 29, 2012.