Individual
FRANCESCA NICOLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC I
Contact information
Practice address
39 BURNHAM ST, ENFIELD, CT 06082-6144
(774) 571-5193
Mailing address
39 BURNHAM ST, ENFIELD, CT 06082-6144
(774) 571-5193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16680
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16680
—
MA
Enumeration date
08/21/2020
Last updated
08/21/2020
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