Jeremy Anderson, MA
Counselor, Mental Health in Salem, MA. Individual provider (NPI-1).
NPI number1982196606
StatusActive
Last updated in NPPESMay 30, 2018
Details
- NPI
- 1982196606
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Anderson
- Credential
- MA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2018
- Last updated
- May 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
110 Boston StSalem, MA 01970-1402
Phone 612-730-5903
Mailing address
15 Kings Beach TerSwampscott, MA 01907-1918
Phone 612-730-5903
Other practice locations
15 Kings Beach Ter
Swampscott, MA 01907-1918
Swampscott, MA 01907-1918
Phone 612-730-5903
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