MR. Jerry Short
NPI #1023348786 in Dorchester, Massachusetts
Provider Information
- NPI Number
- 1023348786
- Entity Type
- Individual
- Name
- MR. Jerry Short
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 31, 2009
- Last Updated
- Dec 31, 2009
Practice Location
- Address
- 40 CRESTWOOD PARK
- City
- Dorchester
- State
- Massachusetts
- ZIP Code
- 02121-1106
- Phone
- (617) 312-9564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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