Amanda Short, BS

Mental Health Counselor · Robinson, IL

Individual Active NPI

NPI number 1558774810

Practice location

204 W Highland Ave
Robinson, IL 62454-1710
Phone
(618) 546-1021
Fax
(618) 544-7892

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NPI record

NPI
1558774810
Entity type
Individual (Type 1)
Enumeration date
June 4, 2014
Last updated
June 4, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Mental Health Counselor Primary 101YM0800X — —
Professional Counselor 101YP2500X — —

Mailing address

504 Micah Dr
Drawer M
Olney, IL 62450-4720
Phone
(618) 395-4306
Fax
(618) 395-4507

About Amanda Short

Amanda Short, BS is a healthcare provider registered in the NPI registry with the primary taxonomy Mental Health Counselor (code 101YM0800X). The practice location is 204 W Highland Ave, Robinson, IL 62454-1710. The NPI number 1558774810 was assigned on June 4, 2014 and the record was last updated on June 4, 2014.

Frequently asked questions

What is the NPI number of Amanda Short, BS?

The NPI number is 1558774810.

What is the phone number of Amanda Short?

The phone number listed for the practice location is (618) 546-1021.

Where is Amanda Short located?

204 W Highland Ave, Robinson, IL 62454-1710.

What is the taxonomy code for Amanda Short?

The primary taxonomy code is 101YM0800X – Mental Health Counselor; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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