Individual provider · Type 1 NPI

Corrie Short

Mental Health Counselor · Vancouver, WA

NPI number 1649690363 Active

Practice location

17201 SE 21st St
Vancouver, WA 98683-3304

Call (360) 907-5487 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH61427204 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCP60536017 (WA)
Mental Health Counselor 101YM0800XNone listed

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About NPI 1649690363

Corrie Short's National Provider Identifier is 1649690363, issued on Apr 21, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vancouver, WA. The record was last updated on Aug 10, 2024.