MARIE DENISE PORTER

MENTOR, OH
NPI1902670003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.186466)
Enumeration Date2023-11-08
Last Update Date2023-11-15
Business Address
MARIE DENISE PORTER CDCA
9083 MENTOR AVE
MENTOR, OH 44060-6462
Phone number: 440-255-0678
Mailing Address
MARIE DENISE PORTER CDCA
7569 PINEHURST DR
MENTOR ON THE LAKE, OH 44060-3203
Phone number: 440-382-0766