Individual provider · Type 1 NPI

Jessica Brooke Porter, B.S, FAODP

Addiction (Substance Use Disorder) Counselor · Waterford, MI

NPI number 1003926098 Active

Practice location

1435 N Oakland Blvd
Waterford, MI 48327-1549

Call (248) 666-2720 Map

Mailing address

1147 Ironwood Ct, Apt 004
Rochester, MI 48307-1261

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003926098

Jessica Brooke Porter, B.S, FAODP's National Provider Identifier is 1003926098, issued on Aug 30, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waterford, MI. The record was last updated on Jul 8, 2007.