| Doctor Name: | NICOLE PORTO |
| NPI Number: | 1033412317 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A |
| License Number: | |
| Business Practice Address: | 607 Pleasant St Attleboro, MA - 027032570 |
| Business Phone Number: | 5082234691 |
| Business Fax Number: | |
| Mailing Address: | 20 Stillwood Rd, WALLINGFORD |
| State: | CT |
| Postal Code: | 064924731 |
| Phone Number: | 2038154006 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2010 |
| NPI Last Update Date: | 12/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |