person
Mr. Jerry Ayantola, MED
Mental Health Counselor in Worcester, Massachusetts
NPI 1871884338

Jerry Ayantola is a Mental Health Counselor based in Worcester, MA and is specialized in Mental Health. Jerry Ayantola practices in Worcester, MA and has the professional credentials of MED. The NPI Number for Jerry Ayantola is 1871884338 and holds a License No. (Massachusetts).

The current practice location address for Jerry Ayantola is 60 Harvard St, Worcester, MA and can be reached out via phone at 508-755-6843 and via fax at 508-799-8947.

Location: 60 Harvard St, Worcester, MA, 01610-1944
person
Provider Profile Details
NPI Number
1871884338
Provider Name
Jerry Ayantola
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
60 Harvard St, Worcester, MA, 01610-1944
Phone Number
508-755-6843
Fax Number
508-799-8947
Provider Enumeration Date
05/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
60 Harvard St
City
State
Zip
01609-2743
Phone Number
508-755-6843
Fax Number
508-799-8947
person
Provider Business Mailing Address Details
Address
60 Harvard St
City
State
Zip
01609-2743
Phone Number
508-755-6843
Fax Number
508-799-8947
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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