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Marie Denise Porter, CDCA
Addiction (Substance Use Disorder) Counselor in Mentor, Ohio
NPI 1902670003

Marie Denise Porter is an Addiction (Substance Use Disorder) Counselor based in Mentor On The Lake, OH and is specialized in Addiction (Substance Use Disorder). Marie Denise Porter practices in Mentor, OH and has the professional credentials of CDCA. The NPI Number for Marie Denise Porter is 1902670003 and holds a License No. CDCA.186466 (Ohio).

The current practice location address for Marie Denise Porter is 9083 Mentor Ave, Mentor, OH and can be reached out via phone at 440-255-0678.

Location: 9083 Mentor Ave, Mentor, OH, 44060-3203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902670003
Provider Name
Marie Denise Porter
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
9083 Mentor Ave, Mentor, OH, 44060-3203
Phone Number
440-255-0678
Fax Number
Provider Enumeration Date
11/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9083 Mentor Ave
City
Mentor
State
Ohio
Zip
44060-6462
Phone Number
440-255-0678
Fax Number
person
Provider Business Mailing Address Details
Address
9083 Mentor Ave
City
Mentor
State
Ohio
Zip
44060-6462
Phone Number
440-255-0678
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.186466 (Ohio)
Definition
Definition to come...
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