Porter, Jessica Brooke
Porter, Jessica Brooke is an individual health care provider with primary practice located at 1435 N Oakland Blvd , Waterford MI 48327-1549. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Porter, Jessica Brooke can be contacted via phone (248) 666-2720.Contact Information
Primary practice address
1435 N Oakland Blvd
Waterford MI 48327-1549
Phone: (248) 666-2720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1003926098 |
|---|---|
| LBN Legal business name | Porter, Jessica Brooke |
| Credentials | B.S, FAODP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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