person
Dr. Athena Marie Porter, PHD
Professional Counselor in Angie, Louisiana
NPI 1306942107

Athena Marie Porter is a Professional Counselor based in Chicago, LA and is specialized in Professional. Athena Marie Porter practices in Angie, LA and has the professional credentials of PHD. The NPI Number for Athena Marie Porter is 1306942107 and holds a License No. (Louisiana).

The current practice location address for Athena Marie Porter is 29764 Highway 21, Angie, LA and can be reached out via phone at 985-986-0016 and via fax at 985-986-1260.

Location: 29764 Highway 21, Angie, LA, 60649-2700
person
Provider Profile Details
NPI Number
1306942107
Provider Name
Athena Marie Porter
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
29764 Highway 21, Angie, LA, 60649-2700
Phone Number
985-986-0016
Fax Number
985-986-1260
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 LA
institution
Provider Business Practice Location Address Details
Address
29764 Highway 21
City
State
Zip
70426-3069
Phone Number
985-986-0016
Fax Number
985-986-1260
person
Provider Business Mailing Address Details
Address
29764 Highway 21
City
State
Zip
70426-3069
Phone Number
985-986-0016
Fax Number
985-986-1260
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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