Individual
KATHRYN ELISE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3805 MCCAIN PARK DR STE 112, NORTH LITTLE ROCK, AR 72116
(501) 350-9621
Mailing address
3805 MCCAIN PARK DR STE 112, NORTH LITTLE ROCK, AR 72116-7813
(501) 350-9621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/22/2010
Last updated
06/06/2018
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