Individual
ASHTON PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22365 BARTON RD STE 302, GRAND TERRACE, CA 92313-5078
(909) 370-2862
Mailing address
9907 WHITE OAK AVE APT 201, NORTHRIDGE, CA 91325-4802
(661) 305-6108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ASW118138
CA
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
ASW118138
CA
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/14/2013
Last updated
10/24/2024
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