GERALD DOUGLAS SHORT

PARKER, CO
NPI1598233868
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB0008150)
Enumeration Date2018-11-05
Last Update Date2025-10-14
Business Address
GERALD DOUGLAS SHORT CAC II
20184 AINTREE PL
PARKER, CO 80138-7304
Phone number: 720-641-6529
Mailing Address
GERALD DOUGLAS SHORT CAC II
20184 AINTREE PL
PARKER, CO 80138-7304
Phone number: 720-641-6529