Individual provider · Type 1 NPI

Latesha Short

Mental Health Counselor · Tupelo, MS

NPI number 1639726474 Active

Practice location

2434 S Eason Blvd # 1
Tupelo, MS 38804-6942

Call (662) 640-4595 Map

Fax (662) 680-6416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1639726474

Latesha Short's National Provider Identifier is 1639726474, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tupelo, MS. The record was last updated on Aug 26, 2019.