Miss Jessica Brooke Porter
Addiction Counselor (Substance Use Disorder)
1435 N Oakland Blvd
Waterford
, Michigan 48327-1549
Miss Jessica Brooke Porter
Addiction Counselor (Substance Use Disorder)
1435 N Oakland Blvd
Waterford
, Michigan 48327-1549
(248) 909-0189
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Miss Jessica Brooke Porter
- 1147 Ironwood Ct Apt 004
- Rochester, MI
- Zip : 48307-1261
- Phone : (248) 909-0189
Second Address
- Miss Jessica Brooke Porter
- 1435 N Oakland Blvd
- Waterford, MI
- Zip : 48327-1549
- Phone : (248) 666-2720
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
National Provider Identifier
| NPI | 1003926098 |
|---|---|
| Provider Name | Miss Jessica Brooke Porter |
| First Address | Rochester, MI 48307-1261 |
| Second Address | Waterford, MI 48327-1549 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.