Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theresa Porter, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659138147

Theresa Porter, RADT is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1225 Travis Blvd
Fairfield, CA 94533-4892
Phone: (707) 399-9105
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1518650823 (CA)

Record details

NPI number1659138147
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT
Sole proprietorNo
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

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