DAVID A PORTER

BURLINGTON, VT
NPI1154396398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VT  000378)
Enumeration Date2006-02-21
Last Update Date2010-05-14
Business Address
-- DAVID A PORTER MA, LADC
86 LAKE ST
BURLINGTON, VT 05401-5297
Phone number: 802-865-3450
Mailing Address
-- DAVID A PORTER MA, LADC
86 LAKE ST
BURLINGTON, VT 05401-5297
Phone number: 802-865-3450