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Mr. Michael Edgar Porter
Addiction (Substance Use Disorder) Counselor in Loa, Utah
NPI 1023358694

Michael Edgar Porter is an Addiction (Substance Use Disorder) Counselor based in Antimony, UT and is specialized in Addiction (Substance Use Disorder). Michael Edgar Porter practices in Loa, UT. The NPI Number for Michael Edgar Porter is 1023358694 and holds a License No. 6890665-6006 (Utah).

The current practice location address for Michael Edgar Porter is 57 South Main, Loa, UT and can be reached out via phone at 435-624-3304.

Location: 57 South Main, Loa, UT, 84712-0045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023358694
Provider Name
Michael Edgar Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
57 South Main, Loa, UT, 84712-0045
Phone Number
435-624-3304
Fax Number
Provider Enumeration Date
02/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
57 South Main
City
Loa
State
Utah
Zip
84747
Phone Number
435-624-3304
Fax Number
person
Provider Business Mailing Address Details
Address
57 South Main
City
Loa
State
Utah
Zip
84747
Phone Number
435-624-3304
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6890665-6006 (Utah)
Definition
Definition to come...
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