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Mr. Jeffery Stephen Querusio
Mental Health Counselor in Somerville, Massachusetts
NPI 1699168476

Jeffery Stephen Querusio is a Mental Health Counselor based in Somerville, MA and is specialized in Mental Health. Jeffery Stephen Querusio practices in Somerville, MA. The NPI Number for Jeffery Stephen Querusio is 1699168476 and holds a License No. S69194867 (Massachusetts).

The current practice location address for Jeffery Stephen Querusio is 8 Munroe St, Somerville, MA and can be reached out via phone at 857-204-6110.

Location: 8 Munroe St, Somerville, MA, 02143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699168476
Provider Name
Jeffery Stephen Querusio
Credential
Provider Entity Type
Individual
Gender
Male
Address
8 Munroe St, Somerville, MA, 02143
Phone Number
857-204-6110
Fax Number
Provider Enumeration Date
03/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40550 01 MA ELIOT COMMUNITY HUMAN SERVICES
S69194867 01 MA MASSACHUSERRS DRIVER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
8 Munroe St
City
Somerville
State
Massachusetts
Zip
02143-2009
Phone Number
857-204-6110
Fax Number
person
Provider Business Mailing Address Details
Address
8 Munroe St
City
Somerville
State
Massachusetts
Zip
02143-2009
Phone Number
857-204-6110
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
S69194867 (Massachusetts)
Definition
Definition to come...
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