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Charles Short
Addiction (Substance Use Disorder) Counselor in Marlton, New Jersey
NPI 1437569589

Charles Short is an Addiction (Substance Use Disorder) Counselor based in Pine Hill, NJ and is specialized in Addiction (Substance Use Disorder). Charles Short practices in Marlton, NJ. The NPI Number for Charles Short is 1437569589 and holds a License No. (New Jersey).

The current practice location address for Charles Short is 2003 Lincoln Dr W Ste C, Marlton, NJ and can be reached out via phone at 856-596-8007.

Location: 2003 Lincoln Dr W Ste C, Marlton, NJ, 08021-6512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437569589
Provider Name
Charles Short
Credential
Provider Entity Type
Individual
Gender
Male
Address
2003 Lincoln Dr W Ste C, Marlton, NJ, 08021-6512
Phone Number
856-596-8007
Fax Number
Provider Enumeration Date
04/29/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2003 Lincoln Dr W Ste C
City
Marlton
State
New Jersey
Zip
08053-1529
Phone Number
856-596-8007
Fax Number
person
Provider Business Mailing Address Details
Address
2003 Lincoln Dr W Ste C
City
Marlton
State
New Jersey
Zip
08053-1529
Phone Number
856-596-8007
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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