Individual
ALAN DAVID PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1826 VETERANS BLVD, CARL VINSON VA HOSPITAL, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
1701 HIGHLAND AVE, DUBLIN, GA 31021-3511
(478) 272-1210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
707
KS
104100000X
Social Worker
Primary
8190
KS
Other
Enumeration date
03/27/2012
Last updated
04/11/2012
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