| NPI | 1891070173 |
|---|---|
| Professional Name | MELANIE SHORTALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 16200) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI CDP00578) |
| 225C00000X Rehabilitation Counselor (Licence: MA 00115909) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2023-07-06 |