Martha Porcupine
Counselor, Addiction (Substance Use Disorder) in San Francisco, CA. Individual provider (NPI-1).
NPI number1063668069
StatusActive
Last updated in NPPESJan 11, 2023
Details
- NPI
- 1063668069
- Entity type
- Individual (NPI-1)
- Name
- Martha Porcupine
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2008
- Certification date
- Jan 11, 2023
- Last updated
- Jan 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 122229I | CA | Yes |
Practice location
890 Hayes StSan Francisco, CA 94117-2615
Phone 415-762-3700 · Fax 415-865-0119
Mailing address
1563 Mission StSan Francisco, CA 94103-2543
Phone 415-762-3700 · Fax 415-865-0119
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