person
Michael Carl Short, MSW,LCSW
Mental Health Counselor in Waukesha, Wisconsin
NPI 1588766208

Michael Carl Short is a Mental Health Counselor based in Waukesha, WI and is specialized in Mental Health. Michael Carl Short practices in Waukesha, WI and has the professional credentials of MSW,LCSW. The NPI Number for Michael Carl Short is 1588766208 and holds a License No. 1698-123 (Wisconsin).

The current practice location address for Michael Carl Short is 741 N Grand Ave, Waukesha, WI and can be reached out via phone at 262-542-3255.

Location: 741 N Grand Ave, Waukesha, WI, 53186-4820
person
Provider Profile Details
NPI Number
1588766208
Provider Name
Michael Carl Short
Credential
MSW,LCSW
Provider Entity Type
Individual
Gender
Male
Address
741 N Grand Ave, Waukesha, WI, 53186-4820
Phone Number
262-542-3255
Fax Number
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
741 N Grand Ave
City
State
Zip
53186-4820
Phone Number
262-542-3255
Fax Number
person
Provider Business Mailing Address Details
Address
741 N Grand Ave
City
State
Zip
53186-4820
Phone Number
262-542-3255
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1698-123 (Wisconsin)
Definition
Definition to come...
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