Individual
DEVONTE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22001 FAIRMOUNT BLVD, CLEVELAND, OH 44118-4819
(216) 932-2800
Mailing address
9212 MINITREE GLEN LN, PROVIDENCE FORGE, VA 23140-3450
(804) 433-9801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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