Doctor Name: | MARK A SHORTESS |
NPI Number: | 1255632659 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA LPC |
License Number: | 4405 |
Business Practice Address: | 2708 Patterson Road Center For Enriched Communication, Inc Dba Counseling & Grand Junction, CO - 815064031 |
Business Phone Number: | 9702439539 |
Business Fax Number: | 9702457493 |
Mailing Address: | 2708 Patterson Road, Center For Enriched Communication, Inc Dba Counseling & GRAND JUNCTION |
State: | CO |
Postal Code: | 815064031 |
Phone Number: | 9702439539 |
Fax Number: | 9702457493 |
NPI Enumeration Date: | 11/16/2010 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |