Individual provider · Type 1 NPI

Kelly Porter

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1841774205 Active

Practice location

9605 Grand River Ave
Detroit, MI 48204-2139

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 1841774205

Kelly Porter's National Provider Identifier is 1841774205, issued on Sep 21, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Sep 21, 2018.