Jack Porter
Jack Porter is an Addiction (Substance Use Disorder) Counselor in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
3707 E Shields AveFresno, CA 93726-7029
Phone: (559) 229-9040
Fax: (559) 229-9060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1780734574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
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