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Individual

MS. CATHERINE LOUISE SHORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSW, LCDC III

Contact information

Practice address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003
(740) 270-3286
Mailing address
9 CHESAPEAKE PLZ, CHESAPEAKE, OH 45619-1003

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
161034
OH
104100000X
Social Worker
Primary
S.1500163
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0200008
OH
Enumeration date
02/03/2016
Last updated
07/23/2024
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