Individual
MICHAEL DAVID SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1301 SHILOH RD NW STE 530, KENNESAW, GA 30144-7153
(770) 376-0354
Mailing address
1301 SHILOH RD NW STE 520, KENNESAW, GA 30144-7153
(770) 376-0354
(877) 885-1142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CSW007990
GA
1041C0700X
Clinical Social Worker
Primary
CSW007990
GA
Other
Enumeration date
02/18/2020
Last updated
07/28/2025
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