MR. DAVID SHORT
NPI 1255902086
Counselor - Addiction (Substance Use Disorder) in Redding, CA

Active since July 02, 2021
3590 EL PORTAL DR APT 15, REDDING, CA 96002(530) 722-1114 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. David Short NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID SHORT (NPI 1255902086) is an individual addiction (substance use disorder) provider in Redding, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1255902086
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DAVID SHORT
Location Address3590 EL PORTAL DR APT 15Redding, CA 96002-3154
Mailing Address1178 Lake Blvd Spc 26Redding, CA 96003-1708 · (530) 917-3963
Sole ProprietorNo
Enumeration DateJuly 2, 2021
NPPES CertifiedMay 3, 2021
NPI 1255902086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3590 EL PORTAL DR APT 15, Redding, CA 96002

Other Identifiers 1

Medicaid93671044A68339CA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
3590 EL PORTAL DR APT 15
REDDING, CA 96002
Counselor (Addiction (Substance Use Disorder))
3590 EL PORTAL DR APT 15
REDDING, CA 96002
Counselor (Addiction (Substance Use Disorder))
3590 EL PORTAL DR APT 15
REDDING, CA 96002
Counselor (Addiction (Substance Use Disorder))
3590 EL PORTAL DR APT 15
REDDING, CA 96002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255902086, enumerated as an "individual" on July 02, 2021.

The provider is located at 3590 EL PORTAL DR APT 15 REDDING, CA 96002 and the phone number is (530) 722-1114.

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.