Mallory Short, MS

NPI #1346703964 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number: 1346703964
Entity Type: Individual
Name: Mallory Short, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: MS
Enumeration Date: Apr 10, 2019
Last Updated: Mar 23, 2023

Practice Location

Address: 3320 PARK DR
City: Sturgeon Bay
State: Wisconsin
ZIP Code: 54235-2325
Phone: (920) 255-8068

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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