Individual
CAMILLE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
Mailing address
4800 S GRAND ST, MONROE, LA 71202-6412
(318) 362-3339
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5631
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/09/2015
Last updated
02/06/2024
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