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Individual

MR. JEFFREY SARGENT SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC, LMFT

Contact information

Practice address
26 GRANITE STATE CT, BREWSTER, MA 02631-2127
(508) 240-1471
(508) 240-1471
Mailing address
26 GRANITE STATE CT, BREWSTER, MA 02631-2127
(508) 240-1471
(508) 240-1471

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3050
MA
106H00000X
Marriage & Family Therapist
Primary
440
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7199181
AETNA
MA
01
790687
TUFTS HEALTH PLAN
MA
01
9397166
PHCS
MA
01
LM0369
BLUE CROSS BLUE SHIELD MA
MA
01
S029341
CHAMPUS
MA
Enumeration date
01/19/2007
Last updated
09/11/2025
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