Individual provider · Type 1 NPI
Emily Shore
Addiction (Substance Use Disorder) Counselor · Ravenna, OH
NPI number
1164390779
Active
Practice location
6847 N Chestnut St
Ravenna, OH 44266-3929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 138559 (OH) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164390779
Emily Shore's National Provider Identifier is 1164390779, issued on Oct 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ravenna, OH. The record was last updated on Oct 27, 2025.