Individual
JAMEL PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
460 BLOOMFIELD AVE STE 209, MONTCLAIR, NJ 07042-3552
(973) 886-2798
Mailing address
125 GATES AVE APT 17, MONTCLAIR, NJ 07042-2537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC20297700
NJ
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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