DARREN MICHAEL PORTER

GREEN BAY, WI
NPI1336462068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  15865-132)
Enumeration Date2010-03-09
Last Update Date2014-10-23
Business Address
MR. DARREN MICHAEL PORTER CSAC
2979 ALLIED ST
GREEN BAY, WI 54304-5567
Phone number: 920-337-6740
Mailing Address
MR. DARREN MICHAEL PORTER CSAC
2422 N GRANDVIEW BLVD
WAUKESHA, WI 53188-6105
Phone number: 262-549-6600
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