| Kimmerly Perry Group Practice | |
| 
					24 Common St Charlestown MA 02129-3818  | |
| (520) 370-7326 | |
| Not Available | 
| Full Name | Kimmerly Perry Group Practice | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 24 Common St, Charlestown, Massachusetts | 
| Authorized Official Name and Position | Kimmerly Perry (LICSW) | 
| Authorized Official Contact | 5203707326 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimmerly Perry Group Practice 24 Common St Charlestown MA 02129-3818 Ph: () -  | Kimmerly Perry Group Practice 24 Common St Charlestown MA 02129-3818 Ph: (520) 370-7326  | 
| NPI Number | 1881346450 | 
|---|---|
| Provider Enumeration Date | 01/25/2022 | 
| Last Update Date | 01/25/2022 | 
| Certification Date | 01/25/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881346450 | NPI | - | NPPES | 
| 70010000P23962 | Other | BLUE CROSS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
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