| Jeremy Travis Provost, | |
|
900 Ship Pond Road, Plymouth, MA 02360 | |
| (617) 686-7901 | |
| Not Available |
| Full Name | Jeremy Travis Provost |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 900 Ship Pond Road, Plymouth, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659635183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Travis Provost, 900 Ship Pond Road, Plymouth, MA 02360 Ph: () - | Jeremy Travis Provost, 900 Ship Pond Road, Plymouth, MA 02360 Ph: (617) 686-7901 |
Paul D'espinoza, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 39a Industrial Park Rd, Plymouth, MA 02360 Phone: 508-830-1444 Fax: 508-830-3655 | |
Sarah A Benton, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Main Street Ext, Suite 103, Plymouth, MA 02360 Phone: 508-830-0012 Fax: 508-830-0092 | |
Ms. Barbara Ann Capaldo, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Industrial Park Rd, South Bay Mental Health Center, Plymouth, MA 02360 Phone: 508-830-0000 Fax: 508-746-8429 | |
Kelly Marie Williams, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Long Pond Rd, Plymouth, MA 02360 Phone: 508-747-7783 Fax: 508-747-7838 | |
Tiffanie Foster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Industrial Park Rd, Plymouth, MA 02360 Phone: 774-628-1000 | |
George D Affonso, LADC I, CADC Counselor Medicare: Medicare Enrolled Practice Location: 60 Cherry St, Plymouth, MA 02360 Phone: 508-746-6654 Fax: 508-746-2433 | |
Emily Huffman Kelly, BA, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Industrial Park Rd, Bayview Associates, Plymouth, MA 02360 Phone: 508-830-1630 |