Individual provider · Type 1 NPI

Nicolas Robert Short

Mental Health Counselor · Glen Rock, NJ

NPI number 1609613827 Active

Practice location

266 Harristown Rd Ste 209
Glen Rock, NJ 07452-3321

Mailing address

150 Main St Apt 830
Hackensack, NJ 07601-7381

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AV00804300 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1609613827

Nicolas Robert Short's National Provider Identifier is 1609613827, issued on Jul 15, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Rock, NJ. The record was last updated on Jul 15, 2024.