GERALD DOUGLAS SHORT

AURORA, CO
NPI1598233868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB0008150)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
GERALD DOUGLAS SHORT CAC II
23861 E WHITAKER DR
AURORA, CO 80016-5864
Phone number: 720-641-6529
Mailing Address
GERALD DOUGLAS SHORT CAC II
23861 E WHITAKER DR
AURORA, CO 80016-5864
Phone number: 720-641-6529
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