person
Mrs. Mary Katherine Porter, MA
Addiction (Substance Use Disorder) Counselor in Gautier, Mississippi
NPI 1285944967

Mary Katherine Porter is an Addiction (Substance Use Disorder) Counselor based in Gautier, MS and is specialized in Addiction (Substance Use Disorder). Mary Katherine Porter practices in Gautier, MS and has the professional credentials of MA. The NPI Number for Mary Katherine Porter is 1285944967 and holds a License No. (Mississippi).

The current practice location address for Mary Katherine Porter is 3407 Shamrock Ct, Gautier, MS and can be reached out via phone at 228-497-0690 and via fax at 228-497-1363. You can also correspond with Mary Katherine Porter through the mailing address at 3407 SHAMROCK CT, GAUTIER, MS - 39553-6429 (mailing address contact number: 228-497-0690).

Location: 3407 Shamrock Ct, Gautier, MS, 39553-6429
person
Provider Profile Details
NPI Number
1285944967
Provider Name
Mary Katherine Porter
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3407 Shamrock Ct, Gautier, MS, 39553-6429
Phone Number
228-497-0690
Fax Number
228-497-1363
Provider Enumeration Date
10/15/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00018214 05 MS
institution
Provider Business Practice Location Address Details
Address
3407 Shamrock Ct
City
State
Zip
39553-6429
Phone Number
228-497-0690
Fax Number
228-497-1363
person
Provider Business Mailing Address Details
Address
3407 Shamrock Ct
City
State
Zip
39553-6429
Phone Number
228-497-0690
Fax Number
228-497-1363
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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