Individual provider · Type 1 NPI

Amanda Short, BS

Mental Health Counselor · Robinson, IL

NPI number 1558774810 Active

Practice location

204 W Highland Ave
Robinson, IL 62454-1710

Call (618) 546-1021 Map

Fax (618) 544-7892

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1558774810

Amanda Short, BS's National Provider Identifier is 1558774810, issued on Jun 4, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Robinson, IL. The record was last updated on Jun 4, 2014.