Individual
DARLENE SHUFF PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
210 STATE ST, MERIDEN, CT 06450-3242
(860) 463-3273
Mailing address
76 ASPEN DR, MIDDLETOWN, CT 06457-2016
(860) 463-3273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1004
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
21581
MA
Other
Enumeration date
09/19/2012
Last updated
03/28/2022
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