person
Antoinette L Porter
Addiction (Substance Use Disorder) Counselor in Suffolk, Virginia
NPI 1154088110

Antoinette L Porter is an Addiction (Substance Use Disorder) Counselor based in Suffolk, VA and is specialized in Addiction (Substance Use Disorder). Antoinette L Porter practices in Suffolk, VA. The NPI Number for Antoinette L Porter is 1154088110 and holds a License No. 0710103646 (Virginia).

The current practice location address for Antoinette L Porter is 1258 Holland Rd, Suffolk, VA and can be reached out via phone at 757-409-4771.

Location: 1258 Holland Rd, Suffolk, VA, 23432-1436
person
Provider Profile Details
NPI Number
1154088110
Provider Name
Antoinette L Porter
Credential
Provider Entity Type
Individual
Gender
Female
Address
1258 Holland Rd, Suffolk, VA, 23432-1436
Phone Number
757-409-4771
Fax Number
Provider Enumeration Date
11/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1258 Holland Rd
City
State
Zip
23434-6313
Phone Number
757-409-4771
Fax Number
person
Provider Business Mailing Address Details
Address
1258 Holland Rd
City
State
Zip
23434-6313
Phone Number
757-409-4771
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710103646 (Virginia)
Definition
Definition to come...
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