person
Mr. Jeffery Porter
Mental Health Counselor in Pocatello, Idaho
NPI 1568823060

Jeffery Porter is a Mental Health Counselor based in Idaho Falls, ID and is specialized in Mental Health. Jeffery Porter practices in Pocatello, ID. The NPI Number for Jeffery Porter is 1568823060 and holds a License No. LMSW-34705 (Idaho).

The current practice location address for Jeffery Porter is 151 N 3Rd Ave Ste 404, Pocatello, ID and can be reached out via phone at 208-478-9822.

Location: 151 N 3Rd Ave Ste 404, Pocatello, ID, 83401-6050
person
Provider Profile Details
NPI Number
1568823060
Provider Name
Jeffery Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
151 N 3Rd Ave Ste 404, Pocatello, ID, 83401-6050
Phone Number
208-478-9822
Fax Number
Provider Enumeration Date
03/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
151 N 3Rd Ave Ste 404
City
State
Zip
83201-6331
Phone Number
208-478-9822
Fax Number
person
Provider Business Mailing Address Details
Address
151 N 3Rd Ave Ste 404
City
State
Zip
83201-6331
Phone Number
208-478-9822
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LMSW-34705 (Idaho)
Definition
Definition to come...
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