Individual provider · Type 1 NPI

Antoinette L. Porter

Addiction (Substance Use Disorder) Counselor · Suffolk, VA

NPI number 1154088110 Active

Practice location

1258 Holland Rd
Suffolk, VA 23434-6313

Call (757) 409-4771 Map

Mailing address

4009 Michael Dr
Suffolk, VA 23432-1436

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0710103646 (VA)

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

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About NPI 1154088110

Antoinette L. Porter's National Provider Identifier is 1154088110, issued on Nov 24, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Suffolk, VA. The record was last updated on Nov 24, 2021.