Porter, Amanda

Porter, Amanda is an individual health care provider with primary practice located at 525 Main St Ste E , South Portland ME 04106-5457. 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, Amanda can be contacted via phone (207) 767-0991.

Contact Information

Primary practice address
525 Main St Ste E South Portland ME 04106-5457
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC6619 Maine

Profile Details

NPI number 1720733686
LBN Legal business name Porter, Amanda
Credentials LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2022
Last updated Feb 18th, 2022 - about 4 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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