Individual
MARY ANNE ELIZABETH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC, NCC
Contact information
Practice address
2964 PEACHTREE RD NW STE 760, ATLANTA, GA 30305-2220
(404) 200-0352
Mailing address
2489 MONTVIEW DR NW, ATLANTA, GA 30305-4068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC006568
GA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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