Provider Demographics
NPI:1841585262
Name:GUIMOND, JAMESON M
Entity Type:Individual
Prefix:MR
First Name:JAMESON
Middle Name:M
Last Name:GUIMOND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-4242
Mailing Address - Country:US
Mailing Address - Phone:508-360-1036
Mailing Address - Fax:
Practice Address - Street 1:307 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-4242
Practice Address - Country:US
Practice Address - Phone:508-360-1036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor