Individual
MRS. DELIA PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
353 FALLS DR NW, ABINGDON, VA 24210-8093
(276) 608-8486
Mailing address
270 HALLOCK PL APT 2, ABINGDON, VA 24210-3178
(276) 238-7876
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102947
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
2137
VA
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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