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Logan Mitchell Porter, CL61310165
Counselor in Lacey, Washington
NPI 1114647328

Logan Mitchell Porter is a Counselor based in Lacey, WA. Logan Mitchell Porter practices in Lacey, WA and has the professional credentials of CL61310165. The NPI Number for Logan Mitchell Porter is 1114647328 and holds a License No. 61310165 (Washington).

The current practice location address for Logan Mitchell Porter is 4419 21St Ct Se, Lacey, WA and can be reached out via phone at 253-777-7269. You can also correspond with Logan Mitchell Porter through the mailing address at 4419 21ST CT SE, LACEY, WA - 98503-7036 (mailing address contact number: 253-777-7269).

Location: 4419 21St Ct Se, Lacey, WA, 98503-7036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114647328
Provider Name
Logan Mitchell Porter
Credential
CL61310165
Provider Entity Type
Individual
Gender
Male
Address
4419 21St Ct Se, Lacey, WA, 98503-7036
Phone Number
253-777-7269
Fax Number
Provider Enumeration Date
08/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4419 21St Ct Se
City
Lacey
State
Washington
Zip
98503-7036
Phone Number
253-777-7269
Fax Number
person
Provider Business Mailing Address Details
Address
4419 21St Ct Se
City
Lacey
State
Washington
Zip
98503-7036
Phone Number
253-777-7269
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
61310165 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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