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Individual

MR. JAMES FREDERICK SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
1592 GRANVILLE PIKE, LANCASTER, OH 43130-1076
(740) 687-0835
(740) 687-9391
Mailing address
1592 GRANVILLE PIKE, LANCASTER, OH 43130-1076
(740) 687-0835
(740) 687-9391

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0002222
OH

Other

Enumeration date
08/01/2007
Last updated
08/01/2007
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