Individual
MARK A SHORTESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
2708 PATTERSON ROAD, CENTER FOR ENRICHED COMMUNICATION, INC DBA COUNSELING &, GRAND JUNCTION, CO 81506-4031
(970) 243-9539
(970) 245-7493
Mailing address
2708 PATTERSON ROAD, CENTER FOR ENRICHED COMMUNICATION, INC DBA COUNSELING &, GRAND JUNCTION, CO 81506-4031
(970) 243-9539
(970) 245-7493
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4405
CO
Other
Enumeration date
11/16/2010
Last updated
12/08/2010
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