Individual provider · Type 1 NPI

Mia Simone Short

Professional Counselor · San Francisco, CA

NPI number 1649845470 Active

Practice location

1001 Potrero Ave
San Francisco, CA 94110-3518

Call (415) 206-5270 Map

Mailing address

3601 Wall Ave
Richmond, CA 94804-3247

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X22964 (CA)

Professional Counselor: Definition to come...

845 other providers at this address

Other professional counselor providers in San Francisco

See all in San Francisco →

About NPI 1649845470

Mia Simone Short's National Provider Identifier is 1649845470, issued on May 24, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Francisco, CA. The record was last updated on Jul 1, 2026.