Individual
TONI SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 GOODE ST, HOUMA, LA 70360-4562
(985) 381-5163
Mailing address
312 STOVALL ST, HOUMA, LA 70364-3072
(985) 381-5163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7569
LA
Other
Enumeration date
12/29/2022
Last updated
06/23/2023
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