Mr Jerry Short, in Dorchester, MA - Counselor

Mr Jerry Short, is a Counselor - Mental Health based in Dorchester, Massachusetts. Mr Jerry Short is licensed to practice in * (Not Available) (license number ) and his current practice location is 40 Crestwood Park, Dorchester, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 312-9564.

NPI number for Mr Jerry Short is 1023348786 and his current mailing address is 40 Crestwood Park, Dorchester, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023348786.

Contact Information

	Mr Jerry Short,
	40 Crestwood Park, Dorchester, MA 02121-1106
	(617) 312-9564
	Not Available

Healthcare Provider's Profile

Full Name	Mr Jerry Short
Gender	Male
Speciality	Counselor - Mental Health
Location	40 Crestwood Park, Dorchester, Massachusetts
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1023348786
Provider Enumeration Date: 12/31/2009
Last Update Date: 12/31/2009

Medical Identifiers

Medical identifiers for Mr Jerry Short such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023348786	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerry Short is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jerry Short, 40 Crestwood Park, Dorchester, MA 02121-1106 Ph: (617) 312-9564	Mr Jerry Short, 40 Crestwood Park, Dorchester, MA 02121-1106 Ph: (617) 312-9564

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Counselor in Dorchester, MA

Thomika Marie Bridwell-paul, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Waumbeck St, Apt 2, Dorchester, MA 02121 Phone: 617-388-3307
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Uwanda Audria Coleman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Redfield St, Dorchester, MA 02122 Phone: 617-288-7450
Miguelina Mata, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Redfield St, Suite 300, Dorchester, MA 02122 Phone: 617-288-7450
Kaeleigh Cherisse De Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Southern Ave, Dorchester, MA 02124 Phone: 617-708-0870
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Mr Jerry Short, - Counselor in Dorchester, MA