Individual
LORRISSA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
1900 WESTRIDGE RD, CARLSBAD, NM 88220-3550
(575) 725-5552
(575) 725-5552
Mailing address
1900 WESTRIDGE RD, CARLSBAD, NM 88220-3550
(505) 484-0406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CTB-2023-0629
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2023-0629
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CTB-2026-0229
NM
175T00000X
Peer Specialist
1311
NM
Other
Enumeration date
07/26/2023
Last updated
04/07/2026
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