Individual provider · Type 1 NPI

Jaevaughn Perry

Mental Health Counselor · Springfield, MA

NPI number 1679217558 Active

Practice location

125 Liberty St
Springfield, MA 01103

Call (413) 301-7797 Map

Mailing address

46 Breckwood Blvd
Springfield, MA 01109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1679217558

Jaevaughn Perry's National Provider Identifier is 1679217558, issued on Apr 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on Apr 26, 2022.