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Organization
SHORTER
Active
Organization
SHORTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERMAINE SHORTER LPC-MHSP (OFFICER)
(901) 830-9147
Entity
Organization
Contact information
Practice address
2582 COURTNEY DR, MEMPHIS, TN 38128-4702
(901) 830-9147
Mailing address
2582 COURTNEY DR, MEMPHIS, TN 38128-4702
(901) 830-9147
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/05/2026
Last updated
09/01/2026
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