JOEL MICHAEL PORTER

FREMONT, CA
NPI1174804306
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  P0911101623)
Enumeration Date2011-09-01
Last Update Date2011-09-01
Business Address
Mr. JOEL MICHAEL PORTER
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
Mailing Address
Mr. JOEL MICHAEL PORTER
4510 PERALTA BLVD SUITE 1
FREMONT, CA 94536-5755
Phone number: 510-713-3202
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