| David Shore, CSAC | |
| 
					4926 W Broad St, Richmond, VA 23230-3122  | |
| (844) 624-7513 | |
| Not Available | 
| Full Name | David Shore | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 4926 W Broad St, Richmond, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407734197 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| David Shore, CSAC 7 Jefferson Dr, Palmyra, VA 22963-2010 Ph: (434) 422-0260  | David Shore, CSAC 4926 W Broad St, Richmond, VA 23230-3122 Ph: (844) 624-7513  | 
Lauren Lusk,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311  | |
Trisha Jasmine Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Byrd Ave, Richmond, VA 23230 Phone: 804-592-6311  | |
Mark C. Taylor, MSW, LMHP-S, CSAC, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1731 N 28th St, Richmond, VA 23223 Phone: 804-301-8400  | |
Ms. Pamela Kavanaugh Douglas, MSN,APRN,BC Counselor Medicare: Accepting Medicare Assignments Practice Location: 6722 Patterson Ave, Suite B, Richmond, VA 23226 Phone: 804-282-4000 Fax: 804-282-7799  | |
Wanda A. Crockett, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2006 Bremo Rd, Suite 101, Richmond, VA 23226 Phone: 804-288-1881 Fax: 804-288-1881  | |
Steven Lawrence Ecker, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4915 Radford Ave, Richmond, VA 23230 Phone: 804-359-3370 Fax: 804-359-1649  | |
Mrs. Joanne Clarke Seawell, LPC/LMFT Counselor Medicare: Medicare Enrolled Practice Location: 6603 Irongate Sq, Richmond, VA 23234 Phone: 804-743-0960  |