MATTHEW J PORTER

SHELBY, OH
NPI1245737444
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.111500)
Enumeration Date2018-04-12
Last Update Date2023-07-31
Business Address
MATTHEW J PORTER CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322
Mailing Address
MATTHEW J PORTER CDCA
2775 STATE ROUTE 39
SHELBY, OH 44875-9466
Phone number: 419-747-3322