| Mr Jerry Short, | |
|
40 Crestwood Park, Dorchester, MA 02121-1106 | |
| (617) 312-9564 | |
| Not Available |
| Full Name | Mr Jerry Short |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 40 Crestwood Park, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023348786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry Short, 40 Crestwood Park, Dorchester, MA 02121-1106 Ph: (617) 312-9564 | Mr Jerry Short, 40 Crestwood Park, Dorchester, MA 02121-1106 Ph: (617) 312-9564 |
Thomika Marie Bridwell-paul, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Waumbeck St, Apt 2, Dorchester, MA 02121 Phone: 617-388-3307 | |
Florence Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 434 Warren St, Dorchester, MA 02121 Phone: 617-989-0260 Fax: 617-989-0276 | |
Uwanda Audria Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Redfield St, Dorchester, MA 02122 Phone: 617-288-7450 | |
Miguelina Mata, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Redfield St, Suite 300, Dorchester, MA 02122 Phone: 617-288-7450 | |
Kaeleigh Cherisse De Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Southern Ave, Dorchester, MA 02124 Phone: 617-708-0870 | |
Auta Rocha Almeida, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 Washington St, Dorchester, MA 02121 Phone: 617-534-9954 Fax: 847-822-2345 |