Individual
ANGELA GABRIEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RAS
Contact information
Practice address
1820 SCENIC AVE, BERKELEY, CA 94709-1324
(510) 548-7270
(510) 665-3176
Mailing address
2323 HEARST AVE, BERKELEY, CA 94709-1319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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