Individual
JASON DEXTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 PINE ST, DANVERS, MA 01923-2620
(978) 818-0411
Mailing address
126 PINE ST, DANVERS, MA 01923-2620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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