JAMEL PORTER

MONTCLAIR, NJ
NPI1083175731
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC20297700)
Enumeration Date2019-03-26
Last Update Date2019-03-26
Business Address
JAMEL PORTER
460 BLOOMFIELD AVE STE 209
MONTCLAIR, NJ 07042-3552
Phone number: 973-886-2798
Mailing Address
JAMEL PORTER
125 GATES AVE APT 17
MONTCLAIR, NJ 07042-2537
Phone number:
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