Individual
RUBEN PORTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC
Contact information
Practice address
8200 MOUNTAIN RD NE, ALBUQUERQUE, NM 87110-7843
(505) 620-7539
Mailing address
8200 MOUNTAIN RD NE, ALBUQUERQUE, NM 87110-7843
(505) 620-7539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0133751
NM
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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