Individual
MARANITA PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 E AVENUE J # 261, LANCASTER, CA 93535-3870
(661) 878-6169
Mailing address
1012 E AVENUE J # 261, LANCASTER, CA 93535-3870
(661) 341-2690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/11/2017
Last updated
01/13/2022
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