person
Antonia Jo Lynn Porter, MASTEROFSCIENCE
Professional Counselor in Bluefield, Virginia
NPI 1730437336

Antonia Jo Lynn Porter is a Professional Counselor based in Bluefield, VA and is specialized in Professional. Antonia Jo Lynn Porter practices in Bluefield, VA and has the professional credentials of MASTEROFSCIENCE. The NPI Number for Antonia Jo Lynn Porter is 1730437336 and holds a License No. 2032 (Virginia).

The current practice location address for Antonia Jo Lynn Porter is 546 Virginia Ave, Bluefield, VA and can be reached out via phone at 305-432-1672.

Location: 546 Virginia Ave, Bluefield, VA, 24605-1729
person
Provider Profile Details
NPI Number
1730437336
Provider Name
Antonia Jo Lynn Porter
Credential
MASTEROFSCIENCE
Provider Entity Type
Individual
Gender
Female
Address
546 Virginia Ave, Bluefield, VA, 24605-1729
Phone Number
305-432-1672
Fax Number
Provider Enumeration Date
08/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0005489001 05 WV
0005489002 05 WV
institution
Provider Business Practice Location Address Details
Address
546 Virginia Ave
City
State
Zip
24605-1729
Phone Number
305-432-1672
Fax Number
person
Provider Business Mailing Address Details
Address
546 Virginia Ave
City
State
Zip
24605-1729
Phone Number
305-432-1672
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2032 (West Virginia)
Definition
Definition to come...
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