DAVID SHORT

REDDING, CA
NPI1255902086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-07-02
Last Update Date2021-07-02
Business Address
Mr. DAVID SHORT
3590 EL PORTAL DR APT 15
REDDING, CA 96002-3154
Phone number: 530-722-1114
Mailing Address
Mr. DAVID SHORT
1178 LAKE BLVD SPC 26
REDDING, CA 96003-1708
Phone number: 530-917-3963