Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY SHORT, MS
Active Sole ProprietorMALLORY SHORT, MS is a Mental Health Counselor healthcare provider located in STURGEON BAY, Wisconsin. NPI 1346703964 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · STURGEON BAY, WI
Registration Details
- NPI Number
- 1346703964
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2019 (7.3355946760124 yrs)
- Last Updated
- Mar 23, 2023
- Licenses
-
5858-125 (WI)5858-125 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3320 PARK DRSTURGEON BAY, WI, 542352325Browse WI providers · Browse ZIP 54235
- Phone
- 9202558068
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in STURGEON BAY, WI
| Name | Credential | NPI |
|---|---|---|
| KRISTINE KELLY KONRAD | MS | 1073525663 |
| MARGARET BUHK | BA/BS | 1568769339 |
| ERIKA NELSON | MS, LPC | 1497398622 |
| RENE BETH DOMASK | LPC | 1740888544 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.