Individual provider · Type 1 NPI
Cody Shore
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1740781012
Active
Practice location
909 W Temple St
Los Angeles, CA 90012-3981
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1740781012
Cody Shore's National Provider Identifier is 1740781012, issued on Feb 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 22, 2018.