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1538533666
RICHARD PORTER
MOREHEAD CITY, NC
NPI
1538533666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC Csac-21997)
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
Mr. RICHARD PORTER
3110 ARENDELL ST #4
MOREHEAD CITY, NC 28557-6511
Phone number: 252-269-0199
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Mailing Address
Mr. RICHARD PORTER
142 SOUND DR
ATLANTIC BEACH, NC 28512-5205
Phone number: 252-269-0199
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