Individual
CAMERON SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARKET PL, BRIDGEPORT, WV 26330-9168
(304) 644-8866
Mailing address
100 MARKET PL, BRIDGEPORT, WV 26330-9168
(304) 644-8866
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WV
101YM0800X
Mental Health Counselor
Primary
—
WV
Other
Enumeration date
12/08/2025
Last updated
04/14/2026
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