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Individual

MRS. ALISHA RENAY PORTER-MCEACHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.A.S.

Contact information

Practice address
1161 3RD AVE, CHULA VISTA, CA 91911-3136
(619) 498-8260
(619) 498-8265
Mailing address
3880 SHASTA ST APT B20, SAN DIEGO, CA 92109-6556
(858) 610-0767

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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