person
Mallory Short, MS
Mental Health Counselor in Sturgeon Bay, Wisconsin
NPI 1346703964

Mallory Short is a Mental Health Counselor based in Sturgeon Bay, WI and is specialized in Mental Health. Mallory Short practices in Sturgeon Bay, WI and has the professional credentials of MS. The NPI Number for Mallory Short is 1346703964 and holds a License No. 5858-125 (Wisconsin).

The current practice location address for Mallory Short is 3320 Park Dr, Sturgeon Bay, WI and can be reached out via phone at 920-255-8068.

Location: 3320 Park Dr, Sturgeon Bay, WI, 54235-2325
person
Provider Profile Details
NPI Number
1346703964
Provider Name
Mallory Short
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
3320 Park Dr, Sturgeon Bay, WI, 54235-2325
Phone Number
920-255-8068
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3320 Park Dr
City
State
Zip
54235-2325
Phone Number
920-255-8068
Fax Number
person
Provider Business Mailing Address Details
Address
3320 Park Dr
City
State
Zip
54235-2325
Phone Number
920-255-8068
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5858-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5858-125 (Wisconsin)
Definition
Definition to come...
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