person
Amy Porter, LPC,CSAC
Professional Counselor in Jefferson, Wisconsin
NPI 1295132702

Amy Porter is a Professional Counselor based in Jefferson, WI and is specialized in Professional. Amy Porter practices in Jefferson, WI and has the professional credentials of LPC,CSAC. The NPI Number for Amy Porter is 1295132702 and holds a License No. (Wisconsin).

The current practice location address for Amy Porter is 1541 Annex Rd, Jefferson, WI and can be reached out via phone at 920-674-3105.

Location: 1541 Annex Rd, Jefferson, WI, 53549-9803
person
Provider Profile Details
NPI Number
1295132702
Provider Name
Amy Porter
Credential
LPC,CSAC
Provider Entity Type
Individual
Gender
Female
Address
1541 Annex Rd, Jefferson, WI, 53549-9803
Phone Number
920-674-3105
Fax Number
Provider Enumeration Date
11/26/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1541 Annex Rd
City
State
Zip
53549-9803
Phone Number
920-674-3105
Fax Number
person
Provider Business Mailing Address Details
Address
1541 Annex Rd
City
State
Zip
53549-9803
Phone Number
920-674-3105
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6292-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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