Individual
TERRAH ELIZABETH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
1603 E ILLINOIS ST, BELLINGHAM, WA 98226-3644
(360) 647-4266
(360) 788-7181
Mailing address
756 F ST APT 1, BLAINE, WA 98230-5187
(206) 473-0029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61251698
WA
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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