person
Tarious Claude Porter
Peer Specialist in Detroit, Michigan
NPI 1093425464

Tarious Claude Porter is a Peer Specialist based in Detroit, MI. Tarious Claude Porter practices in Detroit, MI. The NPI Number for Tarious Claude Porter is 1093425464 and holds a License No. (Michigan).

The current practice location address for Tarious Claude Porter is 17321 Telegraph Rd, Detroit, MI and can be reached out via phone at 313-531-2500.

Location: 17321 Telegraph Rd, Detroit, MI, 48206-1450
person
Provider Profile Details
NPI Number
1093425464
Provider Name
Tarious Claude Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
17321 Telegraph Rd, Detroit, MI, 48206-1450
Phone Number
313-531-2500
Fax Number
Provider Enumeration Date
11/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17321 Telegraph Rd
City
State
Zip
48219-3132
Phone Number
313-531-2500
Fax Number
person
Provider Business Mailing Address Details
Address
17321 Telegraph Rd
City
State
Zip
48219-3132
Phone Number
313-531-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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