MICHAEL ANGELO PORTER

SPRING VALLEY, CA
NPI1326468034
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-04-21
Last Update Date2014-04-21
Business Address
-- MICHAEL ANGELO PORTER
3648 S BONITA ST.
SPRING VALLEY, CA 91977
Phone number: 619-995-1970
Mailing Address
-- MICHAEL ANGELO PORTER
3648 S BONITA ST.
SPRING VALLEY, CA 91977
Phone number: 619-995-1970