Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY TRAVIS PROVOST
Active Sole ProprietorJEREMY TRAVIS PROVOST is a Counselor healthcare provider located in PLYMOUTH, Massachusetts. NPI 1659635183 is currently active in the NPPES registry. Verify at CMS.
Counselor · PLYMOUTH, MA
Registration Details
- NPI Number
- 1659635183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2012 (14.151784776154 yrs)
- Last Updated
- Jun 29, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 SHIP POND ROADPLYMOUTH, MA, 02360Browse MA providers · Browse ZIP 02360
- Phone
- 6176867901
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in PLYMOUTH, MA
| Name | Credential | NPI |
|---|---|---|
| MS. APRIL MARIE RENNER | MA, LMHC | 1063508729 |
| KATHLEEN ROSE DUFFY | — | 1518022359 |
| MRS. JOYCE ANN WALLACE | LMHC | 1295890838 |
| SANDRA PATTINATO | MED | 1447392741 |
| NORMAN KENDALL | MSW | 1215079579 |
| KENNETH ROOD | MA | 1326180571 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.