VAN LAWRENCE PORTER

CLEVELAND, OH
NPI1881246338
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.172699)
Additional Taxonomies106S00000X Behavior Technician
251B00000X Case Management
251S00000X 
Enumeration Date2019-07-15
Last Update Date2020-01-31
Business Address
VAN LAWRENCE PORTER MA, CDCA,QMHS, CMS
3500 CARNEGIE AVE
CLEVELAND, OH 44115-3734
Phone number: 216-407-1207
Mailing Address
VAN LAWRENCE PORTER MA, CDCA,QMHS, CMS
434 EASTLAND RD
BEREA, OH 44017
Phone number: 440-234-2006