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Individual

AMANDA PORTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDPT

Contact information

Practice address
3737 N SHELTON SPRINGS RD, SHELTON, WA 98584-9105
(360) 426-4471
Mailing address
1514 15TH AVE SW, OLYMPIA, WA 98502-0509
(360) 301-1524

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60812037
WA

Other

Enumeration date
04/17/2018
Last updated
04/17/2018
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