Provider Demographics
NPI:1275322380
Name:JERRY DUBERSTEIN, LMHC
Entity type:Organization
Organization Name:JERRY DUBERSTEIN, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBERSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:603-828-4195
Mailing Address - Street 1:100 HAVERHILL RD
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3908
Mailing Address - Country:US
Mailing Address - Phone:603-828-4195
Mailing Address - Fax:
Practice Address - Street 1:100 HAVERHILL RD
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3908
Practice Address - Country:US
Practice Address - Phone:603-828-4195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty