BRIAN PORTER

LONG BEACH, CA
NPI1710242201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-07-10
Last Update Date2012-07-10
Business Address
-- BRIAN PORTER
944 PACIFIC AVE
LONG BEACH, CA 90813-4228
Phone number: 562-436-3533
Mailing Address
-- BRIAN PORTER
944 PACIFIC AVE
LONG BEACH, CA 90813-4228
Phone number:
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