person
Theresa Porter, RADT
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1659138147

Theresa Porter is an Addiction (Substance Use Disorder) Counselor based in Fairfield, CA and is specialized in Addiction (Substance Use Disorder). Theresa Porter practices in Fairfield, CA and has the professional credentials of RADT. The NPI Number for Theresa Porter is 1659138147 and holds a License No. R1518650823 (California).

The current practice location address for Theresa Porter is 1225 Travis Blvd, Fairfield, CA and can be reached out via phone at 707-399-9105.

Location: 1225 Travis Blvd, Fairfield, CA, 94533-6293
person
Provider Profile Details
NPI Number
1659138147
Provider Name
Theresa Porter
Credential
RADT
Provider Entity Type
Individual
Gender
Female
Address
1225 Travis Blvd, Fairfield, CA, 94533-6293
Phone Number
707-399-9105
Fax Number
Provider Enumeration Date
03/01/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1225 Travis Blvd
City
State
Zip
94533-4892
Phone Number
707-399-9105
Fax Number
person
Provider Business Mailing Address Details
Address
1225 Travis Blvd
City
State
Zip
94533-4892
Phone Number
707-399-9105
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1518650823 (California)
Definition
Definition to come...
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