Individual
CARMEN PORCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6370 MAGNOLIA AVE STE 320, RIVERSIDE, CA 92506-2404
(951) 490-6021
Mailing address
1251 REINHART ST, SAN JACINTO, CA 92583-6040
(951) 490-6021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
03/19/2026
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