Individual
DONALD D SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
110 TRAVIS ST, STE 204, LAFAYETTE, LA 70503-2452
(337) 230-0533
(337) 856-8127
Mailing address
224 LORMAND RD, SCOTT, LA 70583-4420
(337) 230-0533
(337) 856-8127
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2669
LA
106H00000X
Marriage & Family Therapist
648
LA
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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