SHAKIA PORTER

XENIA, OH
NPI1376329672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.185042)
Enumeration Date2023-09-04
Last Update Date2023-09-04
Business Address
SHAKIA PORTER
515 MARTIN DR
XENIA, OH 45385-1615
Phone number: 937-562-2400
Mailing Address
SHAKIA PORTER
210 E MAIN ST
FAIRBORN, OH 45324-4706
Phone number: