Gerald Shorty, LMHC

NPI #1225336415 in Farmington, New Mexico

Provider Information

NPI Number: 1225336415
Entity Type: Individual
Name: Gerald Shorty, LMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LMHC
Enumeration Date: Mar 11, 2011
Last Updated: Mar 11, 2011

Practice Location

Address: 851 ANDREA DR STE 4
City: Farmington
State: New Mexico
ZIP Code: 87401-6726
Phone: (505) 269-5121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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