Individual
MICHAEL JEROME SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
12104 CHESTERTON DR, UPPER MARLBORO, MD 20774-1608
(202) 487-7928
Mailing address
12104 CHESTERTON DR, UPPER MARLBORO, MD 20774-1608
(202) 487-7928
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP13736
MD
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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