Glenn Short, LPC is a
Counselor - Professional based in Fort Stockton, Texas. Glenn Short is licensed to practice in Texas (license number 20028) and his current practice location is
700 N Main St, Fort Stockton, Texas. He can be reached at his office (for appointments etc.) via phone at
(432) 336-8110.
NPI number for Glenn Short is 1497212195 and his current mailing address is 700 N Main St, Fort Stockton, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497212195.
Healthcare Provider's Profile
| Full Name | Glenn Short |
|---|
| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 700 N Main St, Fort Stockton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497212195
- Provider Enumeration Date: 02/28/2019
- Last Update Date: 02/28/2019
Medical Identifiers
Medical identifiers for Glenn Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497212195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 20028 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenn Short is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glenn Short, LPC
700 N Main St,
Fort Stockton, TX 79735-5626
Ph: (432) 336-8110 | Glenn Short, LPC
700 N Main St,
Fort Stockton, TX 79735-5626
Ph: (432) 336-8110 |
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