Individual provider · Type 1 NPI

Nicole Short, DP

Addiction (Substance Use Disorder) Counselor · Gaylord, MI

NPI number 1982300778 Active

Practice location

1619 W M 32
Gaylord, MI 49735-9287

Call (231) 535-2822 Map

Fax (231) 535-2376

Mailing address

2329 Center St
Boyne Falls, MI 49713-9268

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982300778

Nicole Short, DP's National Provider Identifier is 1982300778, issued on Feb 2, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gaylord, MI. The record was last updated on Feb 2, 2023.