Devon Jervis
Devon Jervis is a Mental Health Counselor in Providence, Rhode Island. Qualified in 2023, 3 years ago. Registered with an NPI since 2025.
- Years since qualifying
- 3
- In the registry since
- 2025
Practice location Address checks out
194 Waterman StProvidence, RI 02906-4015
Phone: (401) 633-2929
Fax: (888) 602-6957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1235927526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 28, 2025 |
| Last updated in NPPES | April 28, 2025 |
| Certification date | April 28, 2025 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
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