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David Charles Port
Mental Health Counselor in Pullman, Washington
NPI 1376774786

David Charles Port is a Mental Health Counselor based in Pullman, WA and is specialized in Mental Health. David Charles Port practices in Pullman, WA. The NPI Number for David Charles Port is 1376774786 and holds a License No. RC00017858 (Washington).

The current practice location address for David Charles Port is 340 Ne Maple St, Pullman, WA and can be reached out via phone at 509-334-1133 and via fax at 509-332-1608.

Location: 340 Ne Maple St, Pullman, WA, 99163-4120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376774786
Provider Name
David Charles Port
Credential
Provider Entity Type
Individual
Gender
Male
Address
340 Ne Maple St, Pullman, WA, 99163-4120
Phone Number
509-334-1133
Fax Number
509-332-1608
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
340 Ne Maple St
City
Pullman
State
Washington
Zip
99163-4120
Phone Number
509-334-1133
Fax Number
509-332-1608
person
Provider Business Mailing Address Details
Address
340 Ne Maple St
City
Pullman
State
Washington
Zip
99163-4120
Phone Number
509-334-1133
Fax Number
509-332-1608
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
RC00017858 (Washington)
Definition
Definition to come...
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