Individual provider · Type 1 NPI

Tarious Claude Porter

Peer Specialist · Detroit, MI

NPI number 1093425464 Active

Practice location

17321 Telegraph Rd
Detroit, MI 48219-3132

Call (313) 531-2500 Map

Mailing address

2958 Webb St
Detroit, MI 48206-1450

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1093425464

Tarious Claude Porter's National Provider Identifier is 1093425464, issued on Nov 28, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Detroit, MI. The record was last updated on Nov 28, 2022.