Individual
DAVID SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(844) 624-7513
Mailing address
7 JEFFERSON DR, PALMYRA, VA 22963-2010
(434) 422-0260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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