Individual
MS. MARY E SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC, MLADC
Contact information
Practice address
87 STILES RD, SUITE 106, SALEM, NH 03079-2899
(603) 893-7700
(603) 893-7331
Mailing address
87 STILES RD, SUITE 106, SALEM, NH 03079-2899
(603) 893-7700
(603) 893-7331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
882
NH
101YM0800X
Mental Health Counselor
Primary
743
NH
Other
Enumeration date
02/26/2007
Last updated
10/20/2012
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