# LORRISSA SHORT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013698612
- **Gender:** F
- **Credential:** LADAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | CTB-2023-0629 | NM | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CTB-2023-0629 | NM | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CTB-2026-0229 | NM | Yes |
| 175T00000X | Peer Specialist | 1311 | NM | — |

## Other

- **Enumeration date:** 07/26/2023
- **Last updated:** 04/07/2026