Glenn Short, LPC
NPI #1497212195 in Fort Stockton, Texas
Provider Information
- NPI Number
- 1497212195
- Entity Type
- Individual
- Name
- Glenn Short, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Feb 28, 2019
- Last Updated
- Feb 28, 2019
Practice Location
- Address
- 700 N MAIN ST
- City
- Fort Stockton
- State
- Texas
- ZIP Code
- 79735-5626
- Phone
- (432) 336-8110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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