Individual
MS. CASSIDY SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
920 EXECUTIVE DR, MONTICELLO, IN 47960-1961
(574) 583-9350
Mailing address
920 W EXECUTIVE, MONTICELLO, IN 47960
(574) 583-9350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002368A
IN
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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