NATHAN SHORT

REDDING, CA
NPI1659967891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
NATHAN SHORT
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114
Mailing Address
NATHAN SHORT
3648 EL PORTAL DR
REDDING, CA 96002-3133
Phone number: 530-722-1114