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NPI Code Detail

MEDICARE: MRS. SUZANNE LOUISE JAFFERIAN

MEDICARE: MRS. SUZANNE LOUISE JAFFERIAN
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 Counselor6926MA

General Provider Information

NPI Number : 1528134327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE LOUISE JAFFERIAN
Provider Business Mailing Address
First Line : 373 MAIN ST
Second Line :
City : PLYMPTON
State : MA
Zip : 02367-1512
Country : US
Telephone Number : 781-801-3457
Fax Number :
Provider Business Practice Location Address
First Line : 373 MAIN ST
Second Line :
City : PLYMPTON
State : MA
Zip : 02367-1512
Country : US
Telephone Number : 781-801-3457
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 02/29/2024

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Directions to “ MRS. SUZANNE LOUISE JAFFERIAN ” Practice Location

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