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Individual

CHRIS PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RECOVERY ASSISTANT

Contact information

Practice address
1003 SCHNEIDER DR, MALVERN, AR 72104-4811
(501) 653-7604
(501) 290-2170
Mailing address
PO BOX 451, MALVERN, AR 72104-0451
(501) 732-6511
(501) 290-2170

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator
AR

Other

Enumeration date
02/17/2010
Last updated
10/02/2023
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