Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mia Simone Short

Individual provider Professional Counselor · NPI 1649845470

Mia Simone Short is a Professional Counselor in San Francisco, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

1001 Potrero Ave
San Francisco, CA 94110-3518
Phone: (415) 206-5270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 22964 (CA)

Record details

NPI number1649845470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 24, 2021
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

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