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1174804306
JOEL PORTER
FREMONT, CA
NPI
1174804306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA C053330518)
Enumeration Date
2011-09-01
Last Update Date
2024-11-05
Business Address
Mr. JOEL PORTER
37437 GLENMOOR DR
FREMONT, CA 94536-5731
Phone number: 510-713-3200
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Mailing Address
Mr. JOEL PORTER
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
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