Individual
MRS. MONIQUE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 NW 57TH ST, SUITE 302, OKLAHOMA CITY, OK 73112-6814
(405) 840-1234
(405) 840-1211
Mailing address
712 NW 52ND ST, OKLAHOMA CITY, OK 73118-6007
(405) 706-4996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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