Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Michael Short

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1528625738

Shane Michael Short is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2403 Professional Dr
Santa Rosa, CA 95403-3007
Phone: (707) 544-3295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1528625738
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 22, 2019
Last updated in NPPESMay 22, 2019

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