MEDICARE: MISS VERONICA CHANTEL SHORTEN LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	85377	TX

General Provider Information

NPI Number	:	1225753577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS VERONICA CHANTEL SHORTEN LPC

Provider Business Mailing Address
First Line	:	937 ELLINGTON ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77088-5131
Country	:	US
Telephone Number	:	832-483-1445
Fax Number	:

Provider Business Practice Location Address
First Line	:	12337 JONES RD STE 114
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4844
Country	:	US
Telephone Number	:	281-894-7222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	04/30/2025

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Directions to “ MISS VERONICA CHANTEL SHORTEN LPC” Practice Location

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