Individual
SAVANNAH DIMPNA SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
628 MONTEZUMA ST, RIO VISTA, CA 94571-1622
(707) 374-5243
Mailing address
1214 ASPEN PL, DAVIS, CA 95616-2036
(916) 591-4668
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC19941
CA
101YP2500X
Professional Counselor
—
—
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2024
Last updated
07/17/2025
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