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Mcdonald Elliot Porter
Student in an Organized Health Care Education/Training Program in Alameda, California
NPI 1700460904

Mcdonald Elliot Porter is a Student in an Organized Health Care Education/Training Program based in Berkeley, CA. Mcdonald Elliot Porter practices in Alameda, CA. The NPI Number for Mcdonald Elliot Porter is 1700460904 and holds a License No. (California).

The current practice location address for Mcdonald Elliot Porter is 2325 Clement Ave, Alameda, CA and can be reached out via phone at 510-629-6309.

Location: 2325 Clement Ave, Alameda, CA, 94705-1018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700460904
Provider Name
Mcdonald Elliot Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
2325 Clement Ave, Alameda, CA, 94705-1018
Phone Number
510-629-6309
Fax Number
Provider Enumeration Date
05/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2325 Clement Ave
City
Alameda
State
California
Zip
94501-7063
Phone Number
510-629-6309
Fax Number
person
Provider Business Mailing Address Details
Address
2325 Clement Ave
City
Alameda
State
California
Zip
94501-7063
Phone Number
510-629-6309
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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