Individual provider · Type 1 NPI

Van Lawrence Porter, MA, CDCA, QMHS, CMS

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1881246338 Active

Practice location

3500 Carnegie Ave
Cleveland, OH 44115-3734

Call (216) 407-1207 Map

Mailing address

434 Eastland Rd
Berea, OH 44017

Other practice locations

  • 4400 Euclid Ave, Cleveland, OH 44103-3734 · (216) 431-5800
  • 434 Eastland Rd, Berea, OH 44017 · (440) 234-2006
  • 4400 Euclid Ave, Cleveland, OH 44103-3734 · (216) 431-5800

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency 251S00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.172699 (OH)

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

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About NPI 1881246338

Van Lawrence Porter, MA, CDCA, QMHS, CMS's National Provider Identifier is 1881246338, issued on Jul 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Jan 31, 2020.