Individual provider · Type 1 NPI

David Shore, CSAC

Addiction (Substance Use Disorder) Counselor · Richmond, VA

NPI number 1407734197 Active

Practice location

4926 W Broad St
Richmond, VA 23230-3122

Mailing address

7 Jefferson Dr
Palmyra, VA 22963-2010

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1407734197

David Shore, CSAC's National Provider Identifier is 1407734197, issued on Aug 22, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, VA. The record was last updated on Aug 22, 2025.