Individual provider · Type 1 NPI

Jerry Ayantola, M.ED

Mental Health Counselor · Worcester, MA

NPI number 1871884338 Active

Practice location

60 Harvard St
Worcester, MA 01609-2743

Call (508) 755-6843 Map

Fax (508) 799-8947

Mailing address

109 Endicott St, Apt 1
Worcester, MA 01610-1944

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1871884338

Jerry Ayantola, M.ED's National Provider Identifier is 1871884338, issued on May 2, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on May 2, 2011.