Individual
LAKEISHA NICOLE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADDICTION COUNSELOR
Contact information
Practice address
3310 EASTERN AVE, BALTIMORE, MD 21224-4108
(443) 708-5056
Mailing address
616 MANSFIELD RD, ESSEX, MD 21221-3933
(443) 801-1894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2847
MD
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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