Jerell Smith
Counselor in Acton, MA. Individual provider (NPI-1).
NPI number1407129802
StatusActive
Last updated in NPPESFeb 15, 2012
Details
- NPI
- 1407129802
- Entity type
- Individual (NPI-1)
- Name
- Jerell Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 15, 2012
- Last updated
- Feb 15, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
380 Massachusetts AveActon, MA 01720-3743
Phone 978-263-3006
Mailing address
380 Massachusetts AveActon, MA 01720-3743
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