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Individual

GERALD DOUGLAS SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAC II

Contact information

Practice address
20184 AINTREE PL, PARKER, CO 80138-7304
(720) 641-6529
Mailing address
20184 AINTREE PL, PARKER, CO 80138-7304
(720) 641-6529

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB0008150
CO

Other

Enumeration date
11/05/2018
Last updated
10/14/2025
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