person
Ms. Jeanine Gladys Porter
Addiction (Substance Use Disorder) Counselor in Willmar, Minnesota
NPI 1649519091

Jeanine Gladys Porter is an Addiction (Substance Use Disorder) Counselor based in Willmar, MN and is specialized in Addiction (Substance Use Disorder). Jeanine Gladys Porter practices in Willmar, MN. The NPI Number for Jeanine Gladys Porter is 1649519091 and holds a License No. 301951 (Minnesota).

The current practice location address for Jeanine Gladys Porter is 328 3Rd St Sw, Willmar, MN and can be reached out via phone at 320-231-9763 and via fax at 320-235-0334. You can also correspond with Jeanine Gladys Porter through the mailing address at 328 3RD ST SW, WILLMAR, MN - 56201-3475 (mailing address contact number: 320-231-9763).

Location: 328 3Rd St Sw, Willmar, MN, 56201-3475
person
Provider Profile Details
NPI Number
1649519091
Provider Name
Jeanine Gladys Porter
Credential
Provider Entity Type
Individual
Gender
Female
Address
328 3Rd St Sw, Willmar, MN, 56201-3475
Phone Number
320-231-9763
Fax Number
320-235-0334
Provider Enumeration Date
02/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
328 3Rd St Sw
City
State
Zip
56201-3475
Phone Number
320-231-9763
Fax Number
320-235-0334
person
Provider Business Mailing Address Details
Address
328 3Rd St Sw
City
State
Zip
56201-3475
Phone Number
320-231-9763
Fax Number
320-235-0334
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
301951 (Minnesota)
Definition
Definition to come...
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