Individual
MR. AMON OLU PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCSW
Contact information
Practice address
675 HEGENBERGER ROAD, #214, OAKLAND, CA 94621-1973
(510) 932-3678
(510) 397-6292
Mailing address
PO BOX 14306, OAKLAND, CA 94614-2306
(510) 932-3678
(510) 397-6292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW22480
CA
Other
Enumeration date
01/08/2008
Last updated
01/27/2017
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