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Delyn D Porter
Professional Counselor in Blackfoot, Idaho
NPI 1477106854

Delyn D Porter is a Professional Counselor based in Blackfoot, ID and is specialized in Professional. Delyn D Porter practices in Blackfoot, ID. The NPI Number for Delyn D Porter is 1477106854 and holds a License No. 00105855 (Idaho).

The current practice location address for Delyn D Porter is 320 N 1100 W, Blackfoot, ID and can be reached out via phone at 208-380-3946.

Location: 320 N 1100 W, Blackfoot, ID, 83221-5152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477106854
Provider Name
Delyn D Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 N 1100 W, Blackfoot, ID, 83221-5152
Phone Number
208-380-3946
Fax Number
Provider Enumeration Date
07/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 N 1100 W
City
Blackfoot
State
Idaho
Zip
83221-5152
Phone Number
208-380-3946
Fax Number
person
Provider Business Mailing Address Details
Address
320 N 1100 W
City
Blackfoot
State
Idaho
Zip
83221-5152
Phone Number
208-380-3946
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
00105855 ()
Definition
Definition to come...
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