Individual provider · Type 1 NPI

Jamel Porter

Addiction (Substance Use Disorder) Counselor · Montclair, NJ

NPI number 1083175731 Active

Practice location

460 Bloomfield Ave Ste 209
Montclair, NJ 07042-3552

Call (973) 886-2798 Map

Mailing address

125 Gates Ave Apt 17
Montclair, NJ 07042-2537

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37LC20297700 (NJ)

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

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About NPI 1083175731

Jamel Porter's National Provider Identifier is 1083175731, issued on Mar 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Montclair, NJ. The record was last updated on Mar 26, 2019.