Individual
MR. RICHARD PORTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 ARENDELL ST, #4, MOREHEAD CITY, NC 28557-6511
(252) 269-0199
Mailing address
142 SOUND DR, ATLANTIC BEACH, NC 28512-5205
(252) 269-0199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-21997
NC
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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