Individual provider · Type 1 NPI

Tangie Short

Professional Counselor · Greenwell Springs, LA

NPI number 1053763367 Active

Practice location

6639 Sullivan Rd
Greenwell Springs, LA 70739-3112

Call (225) 261-0160 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1053763367

Tangie Short's National Provider Identifier is 1053763367, issued on Jul 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Greenwell Springs, LA. The record was last updated on Jul 11, 2016.