Individual
JOHNETTE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 PLACE REBECCA LN UNIT J5, HOUSTON, TX 77090-1091
(832) 931-3623
Mailing address
2218 PLACE REBECCA LN UNIT J5, HOUSTON, TX 77090-1091
(832) 931-3623
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2018
Last updated
08/20/2024
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