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Individual

FRANK LEON PORTER IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RADT

Contact information

Practice address
4433 FLORIN RD, SACRAMENTO, CA 95823-2527
(916) 769-9167
Mailing address
4433 FLORIN RD BLDG 600, SACRAMENTO, CA 95823-2527
(916) 234-2577

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1426000421
CA
372600000X
Adult Companion
Primary
CA

Other

Enumeration date
05/11/2021
Last updated
11/06/2025
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