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NPI Code Detail

MEDICARE: JARED CHERNEY

MEDICARE:   JARED  CHERNEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1861877805
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED CHERNEY
Provider Business Mailing Address
First Line : 1195 WASHINGTON ST
Second Line :
City : HOLLISTON
State : MA
Zip : 01746-2259
Country : US
Telephone Number : 508-309-8030
Fax Number :
Provider Business Practice Location Address
First Line : 1195 WASHINGTON ST
Second Line :
City : HOLLISTON
State : MA
Zip : 01746-2259
Country : US
Telephone Number : 508-309-8030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2015
Last Update Date : 07/20/2015

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Directions to “ JARED CHERNEY ” Practice Location

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