Individual
MR. JAMES GLENN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1285 MARKS CHURCH RD, AUGUSTA, GA 30909-6329
(706) 738-0443
Mailing address
6370 YELTON RD, APPLING, GA 30802-2901
(706) 541-9382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006264
GA
Other
Enumeration date
09/15/2013
Last updated
09/15/2013
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