Individual
NICK SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 MERRIMON AVE, ASHEVILLE, NC 28804-3766
(828) 771-6800
Mailing address
308 WESTOVER DR, ASHEVILLE, NC 28801-1640
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21776
NC
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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