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JACK PORTER
NPI 1780734574
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since January 12, 2007
3707 E SHIELDS AVE, FRESNO, CA 93726(559) 229-9040(559) 229-9060 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Porter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK PORTER (NPI 1780734574) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1780734574
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK PORTER
Location Address3707 E SHIELDS AVEFresno, CA 93726-7029
Mailing Address970 Makenna StLemoore, CA 93245-4502 · (559) 924-0663
Phone(559) 229-9040
Fax(559) 229-9060
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780734574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3707 E SHIELDS AVE, Fresno, CA 93726
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERICA RENIA MARTINEZ
Licensed Vocational Nurse
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
MS. KATHLEEN ANNE DENMAN
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
MS. CYNTHIA JOHNSON-WRIGHT
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (592) 299-0405
SARAH ANN CRAWFORD CERTIFIED CADTP-7226
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
MS. AMY BETTENCOURT
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
STACY LEANN ORTIZ
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9041
JAMIE DALE SIMS SMITH LVN
Licensed Vocational Nurse
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040
ANGELICA LORRAINE LEDESMA
Counselor (Addiction (Substance Use Disorder))
3707 E SHIELDS AVE
FRESNO, CA 93726
Fresno County (559) 229-9040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Porter's NPI number?

The NPI number for Jack Porter is 1780734574. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jack Porter located?

Jack Porter practices at 3707 E Shields Ave, Fresno, CA 93726. The listed phone number is (559) 229-9040.

What is Jack Porter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Porter was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.