National Provider Identifier

Shane Michael Short

Shane Michael Short is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Santa Rosa, CA and a listed phone number of (707) 544-3295.

NPI 1528625738Santa Rosa, CAAddiction (Substance Use Disorder) Counselor

Source: public NPPES record, last updated May 22, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1528625738
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
May 22, 2019
Last Updated
May 22, 2019

Practice Location

  • 2403 Professional Dr
  • Santa Rosa, CA 95403-3007

Phone: (707) 544-3295

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

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Biography

Shane Michael Short is a Santa Rosa-based behavioral health provider whose CMS registry listing identifies his work in addiction counseling. Public sources did not surface a reliable health-system biography, faculty role, training history, board certification, research, or leadership profile, so this profile is limited to that verified professional focus.

Related Providers

These published providers share the same primary specialty and city. This is a directory relationship, not a recommendation or verified affiliation.

Full Record
NPI
1528625738
Entity Type
Individual
Last Name
Short
First Name
Shane
Middle Name
Michael
Mailing Street Address
2403 Professional Dr
Mailing City
Santa Rosa
Mailing State
CA
Mailing ZIP Code
95403-3007
Mailing Country
US
Mailing Phone
(707) 544-3295
Practice Street Address
2403 Professional Dr
Practice City
Santa Rosa
Practice State
CA
Practice ZIP Code
95403-3007
Practice Country
US
Practice Phone
(707) 544-3295
Enumeration Date
May 22, 2019
Last Updated
May 22, 2019
Sex
Male
Sole Proprietor
Yes
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
101YA0400X (CA)