Individual
KORI SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
12319 HIGHLAND RD STE 401, HARTLAND, MI 48353-2946
(810) 475-2005
Mailing address
5036 PARVIEW DR, CLARKSTON, MI 48346-2804
(248) 410-8469
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101YP2500X
MI
Other
Enumeration date
02/14/2024
Last updated
02/15/2024
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