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Individual

MS. CARRIE LEE SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CATC I

Contact information

Practice address
5525 TELEGRAPH RD, VENTURA, CA 93003
(805) 765-6495
(805) 765-6490
Mailing address
5225 TELEGRAPH RD, VENTURA, CA 93003-4113
(805) 336-0324

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20883
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor

Other

Enumeration date
06/04/2024
Last updated
06/07/2024
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