person
Dwight A Porter, LPC
Professional Counselor in Union City, Georgia
NPI 1194158220

Dwight A Porter is a Professional Counselor based in Union City, GA and is specialized in Professional. Dwight A Porter practices in Union City, GA and has the professional credentials of LPC. The NPI Number for Dwight A Porter is 1194158220 and holds a License No. 006366 (Georgia).

The current practice location address for Dwight A Porter is 4405 Mall Blvd, Union City, GA and can be reached out via phone at 770-969-4309 and via fax at 770-969-4170.

Location: 4405 Mall Blvd, Union City, GA, 30291-2044
person
Provider Profile Details
NPI Number
1194158220
Provider Name
Dwight A Porter
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
4405 Mall Blvd, Union City, GA, 30291-2044
Phone Number
770-969-4309
Fax Number
770-969-4170
Provider Enumeration Date
08/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4405 Mall Blvd
City
State
Zip
30291-2044
Phone Number
770-969-4309
Fax Number
770-969-4170
person
Provider Business Mailing Address Details
Address
4405 Mall Blvd
City
State
Zip
30291-2044
Phone Number
770-969-4309
Fax Number
770-969-4170
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
006366 (Georgia)
Definition
Definition to come...
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