MARK EDWARD PORTER

FRESNO, CA
NPI1902313489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-01-05
Last Update Date2018-06-16
Business Address
Mr. MARK EDWARD PORTER
2140 MERCED ST
FRESNO, CA 93721-1721
Phone number: 559-892-1125
Mailing Address
Mr. MARK EDWARD PORTER
2140 MERCED ST
FRESNO, CA 93721-1721
Phone number: