Individual
ANTHONY PASQUALE PORRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS, CCS
Contact information
Practice address
3000 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 250-1584
Mailing address
900 LANGFORD PL, RALEIGH, NC 27609-6006
(919) 875-3890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
827
NC
101YM0800X
Mental Health Counselor
Primary
827
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111865
—
NC
Enumeration date
01/23/2007
Last updated
09/11/2025
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