FRANK LEON PORTER

ROSEVILLE, CA
NPI1265016794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1426000421)
Enumeration Date2021-05-11
Last Update Date2024-03-06
Business Address
FRANK LEON PORTER RADT
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647
Mailing Address
FRANK LEON PORTER RADT
1133 COLOMA WAY
ROSEVILLE, CA 95661-4480
Phone number: 916-774-6647